Demeuse, Frederick E
Demeuse, Frederick E is an individual health care provider with primary practice located at 7595 Anagram Dr , Eden Prairie MN 55344-7399. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Demeuse, Frederick E can be contacted via phone (612) 573-2200.Contact Information
Primary practice address
7595 Anagram Dr
Eden Prairie MN 55344-7399
Phone: (612) 573-2200
Fax: (612) 573-2274
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9865 | Minnesota |
Profile Details
| NPI number | 1760434211 |
|---|---|
| LBN Legal business name | Demeuse, Frederick E |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 1st, 2023 - about 3 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 | 1760434211 | NPPES |
| Minnesota | MEDICAID | 527430300 |
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