Nagel, Theodore C
Nagel, Theodore C is an individual health care provider with primary practice located at University Of Minnesota Physicians 420 Delaware St Se Mmc395, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Nagel, Theodore C can be contacted via phone (612) 273-3000.Contact Information
Primary practice address
University Of Minnesota Physicians 420 Delaware St Se Mmc395
Minneapolis MN 55455
Phone: (612) 273-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 21382 | Minnesota |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 21382 | Minnesota |
Profile Details
| NPI number | 1679676696 |
|---|---|
| LBN Legal business name | Nagel, Theodore C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679676696 | NPPES |
| Wisconsin | MEDICAID | 30199000 | |
| Wisconsin | Other | 74-25180 | |
| Wisconsin | Other | 1H938NA | |
| Wisconsin | Other | 100821 | |
| Wisconsin | MEDICAID | 0515817 | |
| Wisconsin | Other | 607393 | |
| Wisconsin | Other | HP14028 | |
| Wisconsin | MEDICAID | 10387 | |
| Wisconsin | Other | 0255503 | |
| Wisconsin | Other | 74251181 | |
| Wisconsin | MEDICAID | 7777470 |
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