Dassenko, David A
Dassenko, David A is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Dassenko, David A can be contacted via phone (612) 813-6000.Contact Information
Primary practice address
2525 Chicago Ave
Minneapolis MN 55404-4518
Phone: (612) 813-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 25521 | Minnesota |
Profile Details
| NPI number | 1104865716 |
|---|---|
| LBN Legal business name | Dassenko, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 27th, 2010 - about 16 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 | 1104865716 | NPPES |
| Minnesota | MEDICAID | 983267000 |
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