Moller, James Herman
Moller, James Herman is an individual health care provider with primary practice located at 420 Delaware St Se, University Of Minnesota Physicians Mmc 94, Minneapolis MN 55455. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Moller, James Herman can be contacted via phone (612) 626-2755.Contact Information
Primary practice address
420 Delaware St Se, University Of Minnesota Physicians Mmc 94
Minneapolis MN 55455
Phone: (612) 626-2755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17125 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 17125 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 17125 | Minnesota |
Profile Details
| NPI number | 1891731907 |
|---|---|
| LBN Legal business name | Moller, James Herman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 18th, 2016 - about 9 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 | 1891731907 | NPPES |
| Other | 1009248 | PREFERRED ONE | |
| Other | 25-00282 | PREFERRED ONE | |
| MEDICAID | 335772400 | PREFERRED ONE | |
| Other | A064 | PREFERRED ONE | |
| Other | 100924 | PREFERRED ONE | |
| MEDICAID | 0047141 | PREFERRED ONE | |
| MEDICAID | 0251258 | PREFERRED ONE | |
| Other | 25-21110 | PREFERRED ONE | |
| Other | 2T299MO | PREFERRED ONE | |
| MEDICAID | 0971549 | PREFERRED ONE | |
| Other | 604478 | PREFERRED ONE | |
| Other | HP21998 | PREFERRED ONE |
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