Trudel, Judith L

Trudel, Judith L is an individual health care provider with primary practice located at 1983 Sloan Pl 11, Saint Paul MN 55117-2087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Trudel, Judith L can be contacted via phone (651) 312-1620.

Contact Information

Primary practice address
1983 Sloan Pl 11 Saint Paul MN 55117-2087
Fax: (651) 312-1570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 44280 Minnesota

Profile Details

NPI number 1801805478
LBN Legal business name Trudel, Judith L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 27th, 2018 - 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 1801805478 NPPES
Minnesota MEDICAID 004967100

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