Abraham, David A

Abraham, David A is an individual health care provider with primary practice located at 1720 Highway 59 S , Thief River Falls MN 56701-4331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Abraham, David A can be contacted via phone (218) 681-4747.

Contact Information

Primary practice address
1720 Highway 59 S Thief River Falls MN 56701-4331
Phone: (218) 681-4747
Fax: (218) 683-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 45176 Minnesota

Profile Details

NPI number 1306874920
LBN Legal business name Abraham, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 17th, 2011 - about 14 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 1306874920 NPPES
Minnesota MEDICAID 12208
Minnesota Other 64G77AB
Minnesota Other HP38297
Minnesota Other 1000386
Minnesota Other 1000692
Minnesota Other 169872
Minnesota Other 22280
Minnesota Other 317S2AB
Minnesota MEDICAID 121635000
Minnesota Other 1642950
Minnesota Other DA9021032617
Minnesota Other DA9071032617
Minnesota Other 25842

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