Chiasson, Mary J.
Chiasson, Mary J. is an individual health care provider with primary practice located at 3601 Minnesota Dr Ste 200 , Bloomington MN 55435-5202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Chiasson, Mary J. can be contacted via phone (612) 879-1000.Contact Information
Primary practice address
3601 Minnesota Dr Ste 200
Bloomington MN 55435-5202
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 40247 | Minnesota |
Profile Details
| NPI number | 1235133265 |
|---|---|
| LBN Legal business name | Chiasson, Mary J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Aug 26th, 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 | 1235133265 | NPPES |
| Minnesota | MEDICAID | 446025100 |
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