Frost, Shaun D

Frost, Shaun D is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Frost, Shaun D can be contacted via phone (952) 883-7172.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (952) 883-7172
Fax: (952) 883-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46548 Minnesota

Profile Details

NPI number 1982677308
LBN Legal business name Frost, Shaun D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 31st, 2009 - about 16 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 1982677308 NPPES
Minnesota MEDICAID 839657400

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