Shklyarova, Bella
Shklyarova, Bella is an sole proprietor health care provider with primary practice located at 2635 University Ave Ste 160 Mail Stop 13901B, Saint Paul MN 55114-1271. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shklyarova, Bella can be contacted via phone (651) 254-3500.Contact Information
Primary practice address
2635 University Ave Ste 160 Mail Stop 13901B
Saint Paul MN 55114-1271
Phone: (651) 254-3500
Fax: (651) 254-3699
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46410 | Minnesota |
Profile Details
NPI number | 1730151754 |
---|---|
LBN Legal business name | Shklyarova, Bella |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2006 |
Last updated | Oct 10th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730151754 | NPPES |
Minnesota | MEDICAID | 218658600 |
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