Radin, Barry A

Radin, Barry A is an individual health care provider with primary practice located at 1245 15Th St N , Saint Cloud MN 56303-1802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Radin, Barry A can be contacted via phone (320) 253-5200.

Contact Information

Primary practice address
1245 15Th St N Saint Cloud MN 56303-1802
Phone: (320) 253-5200
Fax: (320) 203-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8819 Minnesota

Profile Details

NPI number 1669447215
LBN Legal business name Radin, Barry A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669447215 NPPES
Minnesota MEDICAID 512636300

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