Withers, Janette Elaine

Withers, Janette Elaine is an individual health care provider with primary practice located at 3366 Oakdale Ave N Suite 601, Robbinsdale MN 55422-2948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Withers, Janette Elaine can be contacted via phone (763) 587-7900.

Contact Information

Primary practice address
3366 Oakdale Ave N Suite 601 Robbinsdale MN 55422-2948
Fax: (763) 587-7989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37780 Minnesota

Profile Details

NPI number 1205853108
LBN Legal business name Withers, Janette Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jun 18th, 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 1205853108 NPPES
Minnesota MEDICAID 061319300

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