De Vries, Ellen
De Vries, Ellen is an individual health care provider with primary practice located at 14000 Fairview Dr , Burnsville MN 55337-5713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. De Vries, Ellen can be contacted via phone (952) 993-8700.Contact Information
Primary practice address
14000 Fairview Dr
Burnsville MN 55337-5713
Phone: (952) 993-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31602 | Minnesota |
Profile Details
| NPI number | 1902880735 |
|---|---|
| LBN Legal business name | De Vries, Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Oct 21st, 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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