Easley, Judy A.

Easley, Judy A. is an individual health care provider with primary practice located at 550 Osborne Rd Ne Rt. 52840, Fridley MN 55432-2718. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Easley, Judy A. can be contacted via phone (763) 236-5000.

Contact Information

Primary practice address
550 Osborne Rd Ne Rt. 52840 Fridley MN 55432-2718
Phone: (763) 236-5000
Fax: (763) 236-3524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32028 Minnesota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 32028 Minnesota

Profile Details

NPI number 1932168754
LBN Legal business name Easley, Judy A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 20th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932168754 NPPES
Minnesota Other 1031906 PREFERRED ONE
Minnesota Other 523P9EA PREFERRED ONE
Minnesota Other 142167 PREFERRED ONE
Minnesota Other 04-07812 PREFERRED ONE
Minnesota Other 2443412 PREFERRED ONE
Minnesota MEDICAID 830707500 PREFERRED ONE
Minnesota Other HP10369 PREFERRED ONE
Minnesota Other 0408822 PREFERRED ONE

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