Willardsen, Darin David

Willardsen, Darin David is an individual health care provider with primary practice located at 1200 6Th Ave N , St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Willardsen, Darin David can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1200 6Th Ave N St Cloud MN 56303-2735
Fax: (320) 240-2118
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41771 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 41771 Minnesota

Profile Details

NPI number 1346230034
LBN Legal business name Willardsen, Darin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Dec 21st, 2015 - about 9 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 1346230034 NPPES
Other 1022874 PREFERRED ONE
Other 2116582 PREFERRED ONE
Other HP30227 PREFERRED ONE
Other 0401366 PREFERRED ONE
MEDICAID 305475600 PREFERRED ONE
Other 1085338 PREFERRED ONE
Other 127719 PREFERRED ONE
Other 305475600 PREFERRED ONE
Other 81D75WI PREFERRED ONE

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