Exconde, Rupert E

Exconde, Rupert E is an individual health care provider with primary practice located at 2828 Chicago Ave South Suite 200, Minneapolis MN 55407-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Exconde, Rupert E can be contacted via phone (612) 879-1000.

Contact Information

Primary practice address
2828 Chicago Ave South Suite 200 Minneapolis MN 55407-1320
Phone: (612) 879-1000
Fax: (612) 879-9116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 40392 Minnesota
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 40392 Minnesota

Profile Details

NPI number 1780613075
LBN Legal business name Exconde, Rupert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Feb 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780613075 NPPES
Minnesota Other 142277 UCARE
Minnesota Other 1692244 UCARE
Minnesota Other 1032021 UCARE
Minnesota Other 269A4EX UCARE
Minnesota Other HP40306 UCARE
Minnesota Other 05-00009 UCARE
Minnesota MEDICAID 0551796 UCARE
Minnesota MEDICAID 34202200 UCARE
Minnesota Other 05-00250 UCARE
Minnesota MEDICAID 319337300 UCARE

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