Hollerud, John Robert
Hollerud, John Robert is an sole proprietor health care provider with primary practice located at 11107 Ulysses St Ne Ste 100 , Blaine MN 55434-4264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hollerud, John Robert can be contacted via phone (763) 333-7733.Contact Information
Primary practice address
11107 Ulysses St Ne Ste 100
Blaine MN 55434-4264
Phone: (763) 333-7733
Fax: (763) 333-7711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36159 | Minnesota |
Profile Details
| NPI number | 1942317888 |
|---|---|
| LBN Legal business name | Hollerud, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jun 30th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942317888 | NPPES |
| Minnesota | MEDICAID | 895363500 |
Popular Providers
-
Rousseau, Jennifer Elaine
11107 Ulysses St Ne Ste 100 , Blaine MN 55434-4264 -
Sayat, Jonathan G
555 S Floyd St , Louisville KY 40202-3822 -
Saha, Indrani
10961 Club West Pkwy , Blaine MN 55449-5866 -
Frazier, Erin Richey
230 E Broadway , Louisville KY 40202-2026 -
Dubinsky, Diane E.
3650 Joseph Siewick Dr Ste 101, Fairfax VA 22033-1700 -
Jewell-Mahler, Victoria
1600 Coraopolis Heights Rd Ste E, Moon Twp PA 15108-4316 -
Hildebrand, Rachel
11855 Ulysses St Ne , Blaine MN 55434 -
Da Costa Gomez, Carol Ana
15671 Sw 88Th St , Miami FL 33196-1103