Whitbeck, Laurie Jean

Whitbeck, Laurie Jean is an sole proprietor health care provider with primary practice located at 775 Prairie Center Dr Suite 250, Eden Prairie MN 55344-7314. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as his primary health care specialty. Whitbeck, Laurie Jean can be contacted via phone (952) 944-2519.

Contact Information

Primary practice address
775 Prairie Center Dr Suite 250 Eden Prairie MN 55344-7314
Fax: (952) 944-0460
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X L0264862 Minnesota

Profile Details

NPI number 1275649873
LBN Legal business name Whitbeck, Laurie Jean
Credentials LPN, OPA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Jul 11th, 2007 - about 17 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 1275649873 NPPES
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