Engelbrekt, Martha Ruth

Engelbrekt, Martha Ruth is an individual health care provider with primary practice located at 14001 Ridgedale Dr Suite 100, Minnetonka MN 55305-1753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Engelbrekt, Martha Ruth can be contacted via phone (952) 473-0211.

Contact Information

Primary practice address
14001 Ridgedale Dr Suite 100 Minnetonka MN 55305-1753
Phone: (952) 473-0211
Fax: (952) 473-7908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47901 Minnesota

Profile Details

NPI number 1447222963
LBN Legal business name Engelbrekt, Martha Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 9th, 2012 - about 14 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 1447222963 NPPES
Minnesota MEDICAID 283607600

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