Westlake, Todd Michael

Westlake, Todd Michael is an individual health care provider with primary practice located at 606 24Th Ave S Suite 301, Minneapolis MN 55454-1455. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Westlake, Todd Michael can be contacted via phone (612) 672-6653.

Contact Information

Primary practice address
606 24Th Ave S Suite 301 Minneapolis MN 55454-1455
Phone: (612) 672-6653
Fax: (612) 672-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO 1904 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO 1904 Minnesota

Profile Details

NPI number 1467673715
LBN Legal business name Westlake, Todd Michael
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jan 26th, 2012 - about 12 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 1467673715 NPPES
Minnesota Other 077842 FAIRVIEW HEATH SERVICES #

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