Himmler, Mary M

Himmler, Mary M is an individual health care provider with primary practice located at 1 Veterans Dr Mailbox 117, Minneapolis MN 55417-2309. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Himmler, Mary M can be contacted via phone (612) 231-4456.

Contact Information

Primary practice address
1 Veterans Dr Mailbox 117 Minneapolis MN 55417-2309
Phone: (612) 231-4456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X M9054 Idaho
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4801 South Dakota

Profile Details

NPI number 1598877896
LBN Legal business name Himmler, Mary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 12th, 2024 - about 2 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 1598877896 NPPES
Idaho Other B5634 BLUE CROSS
Idaho Other 0000010158222 BLUE CROSS
Idaho MEDICAID 806820500 BLUE CROSS

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