London, Erving Wayne
London, Erving Wayne is an individual health care provider with primary practice located at 4600 Lake Road Ave Ste 301 , Robbinsdale MN 55422-1845. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. London, Erving Wayne can be contacted via phone (763) 588-7099.Contact Information
Primary practice address
4600 Lake Road Ave Ste 301
Robbinsdale MN 55422-1845
Phone: (763) 588-7099
Fax: (763) 522-2222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R0779645 | Minnesota |
Profile Details
| NPI number | 1730145764 |
|---|---|
| LBN Legal business name | London, Erving Wayne |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Feb 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730145764 | NPPES |
| Minnesota | MEDICAID | 894628100 |
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