Lick, Simon Leo
Lick, Simon Leo is an individual health care provider with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lick, Simon Leo can be contacted via phone (218) 326-3401.Contact Information
Primary practice address
1601 Golf Course Rd
Grand Rapids MN 55744-8648
Phone: (218) 326-3401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 54954 | Minnesota |
Profile Details
| NPI number | 1922238823 |
|---|---|
| LBN Legal business name | Lick, Simon Leo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2009 |
| Last updated | Sep 20th, 2018 - about 8 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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