Augustine, Daniel

Augustine, Daniel is an sole proprietor health care provider with primary practice located at 509 W 22Nd St Ll, Minneapolis MN 55405-3202. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Augustine, Daniel can be contacted via phone (612) 724-1911.

Contact Information

Primary practice address
509 W 22Nd St Ll Minneapolis MN 55405-3202
Phone: (612) 724-1911
Fax: (612) 724-1851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 20065360 Minnesota

Profile Details

NPI number 1376713818
LBN Legal business name Augustine, Daniel
Credentials CAPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2008
Last updated Apr 19th, 2011 - about 15 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 1376713818 NPPES
Minnesota Other 171562 U CARE MN
Minnesota MEDICAID 715314700 U CARE MN

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