Schmidt, Derek J

Schmidt, Derek J is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Schmidt, Derek J can be contacted via phone (651) 254-8550.

Contact Information

Primary practice address
401 Phalen Blvd Saint Paul MN 55130-5302
Phone: (651) 254-8550
Fax: (651) 254-8558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 47090 Minnesota

Profile Details

NPI number 1801856588
LBN Legal business name Schmidt, Derek J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 9th, 2019 - about 6 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 1801856588 NPPES
Minnesota MEDICAID 996420700

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