Ebrahimi, Jean-Marie R

Ebrahimi, Jean-Marie R is an individual health care provider with primary practice located at 7301 Ohms Lane Ste 650, Edina MN 55439. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ebrahimi, Jean-Marie R can be contacted via phone (952) 835-9880.

Contact Information

Primary practice address
7301 Ohms Lane Ste 650 Edina MN 55439
Phone: (952) 835-9880
Fax: (952) 857-1554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26683 Minnesota

Profile Details

NPI number 1801863022
LBN Legal business name Ebrahimi, Jean-Marie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1801863022 NPPES
Minnesota Other 26683 MN MEDICAL LICENSE
Minnesota MEDICAID 595385500 MN MEDICAL LICENSE

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