Cantrill, Herbert L
Cantrill, Herbert L is an individual health care provider with primary practice located at 3601 W 76Th St Ste 300 , Edina MN 55435-6215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cantrill, Herbert L can be contacted via phone (952) 897-1175.Contact Information
Primary practice address
3601 W 76Th St Ste 300
Edina MN 55435-6215
Phone: (952) 897-1175
Fax: (952) 897-1178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0239583 | Minnesota |
Profile Details
| NPI number | 1407844582 |
|---|---|
| LBN Legal business name | Cantrill, Herbert L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Nov 13th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407844582 | NPPES |
| Minnesota | MEDICAID | 828090800 | |
| Minnesota | MEDICAID | 30353200 |
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