Staveteig, Mindy S

Staveteig, Mindy S is an individual health care provider with primary practice located at 400 S Minnesota St , Crookston MN 56716-1808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Staveteig, Mindy S can be contacted via phone (218) 281-9100.

Contact Information

Primary practice address
400 S Minnesota St Crookston MN 56716-1808
Phone: (218) 281-9100
Fax: (218) 281-9189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10889 Minnesota

Profile Details

NPI number 1154509479
LBN Legal business name Staveteig, Mindy S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2008
Last updated Aug 30th, 2018 - about 7 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 1154509479 NPPES
Other NA9481054162 PREFERRED ONE
Other 1154509479 PREFERRED ONE
Other 30806 PREFERRED ONE
Other 03M31AN PREFERRED ONE
Other 30806 PREFERRED ONE
MEDICAID 342440000 PREFERRED ONE

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