Somerville, James Hazelwood

Somerville, James Hazelwood is an individual health care provider with primary practice located at 6363 France Ave S Suite 400, Edina MN 55435-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Somerville, James Hazelwood can be contacted via phone (952) 920-2070.

Contact Information

Primary practice address
6363 France Ave S Suite 400 Edina MN 55435-2129
Phone: (952) 920-2070
Fax: (952) 920-7444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23088 Minnesota

Profile Details

NPI number 1740394212
LBN Legal business name Somerville, James Hazelwood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Dec 3rd, 2007 - about 18 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 1740394212 NPPES
Wisconsin Other 30724900 WISCONSIN MA
Wisconsin Other 3180156 WISCONSIN MA
Wisconsin Other 34Q11SO WISCONSIN MA
Wisconsin Other 0734009 WISCONSIN MA
Wisconsin Other 3102278 WISCONSIN MA
Wisconsin Other 21972 WISCONSIN MA
Wisconsin Other HP14442 WISCONSIN MA

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