Mjelde, Eric

Mjelde, Eric is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mjelde, Eric can be contacted via phone (218) 732-2800.

Contact Information

Primary practice address
705 Pleasant Ave S Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11663 Minnesota

Profile Details

NPI number 1588064299
LBN Legal business name Mjelde, Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2014
Last updated Dec 26th, 2015 - about 11 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 1588064299 NPPES
Minnesota MEDICAID 1588064299

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