Cody, Dale Lee
Cody, Dale Lee is an individual health care provider with primary practice located at 500 Osborne Rd Ne Ste 255 , Fridley MN 55432-2768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cody, Dale Lee can be contacted via phone (763) 236-2500.Contact Information
Primary practice address
500 Osborne Rd Ne Ste 255
Fridley MN 55432-2768
Phone: (763) 236-2500
Fax: (763) 236-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 30742 | Minnesota |
Profile Details
| NPI number | 1598727638 |
|---|---|
| LBN Legal business name | Cody, Dale Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Nov 9th, 2020 - about 6 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 | 1598727638 | NPPES |
| Minnesota | Other | HP13072 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 133890100 | HEALTHPARTNERS |
| Minnesota | Other | 1728229 | HEALTHPARTNERS |
| Minnesota | Other | 24970 | HEALTHPARTNERS |
| Minnesota | Other | 0817023 | HEALTHPARTNERS |
| Minnesota | Other | 08F09CO | HEALTHPARTNERS |
| Minnesota | Other | 107284 | HEALTHPARTNERS |
| Minnesota | Other | 4133301 | HEALTHPARTNERS |
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