Staab, Beth Ann
Staab, Beth Ann is an individual health care provider with primary practice located at 11091 Ulysses St Suite 100, Blaine MN 55434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Staab, Beth Ann can be contacted via phone (612) 879-1000.Contact Information
Primary practice address
11091 Ulysses St Suite 100
Blaine MN 55434
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 002152 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 53994 | Minnesota |
Profile Details
| NPI number | 1295911238 |
|---|---|
| LBN Legal business name | Staab, Beth Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2008 |
| Last updated | Sep 13th, 2011 - about 13 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 | 1295911238 | NPPES |
| Georgia | Other | 002152 | STATE |
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