Nygren, Linda J
Nygren, Linda J is an individual health care provider with primary practice located at 2545 Chicago Avenue South Suite 405, Minneapolis MN 55404-4544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nygren, Linda J can be contacted via phone (612) 871-5511.Contact Information
Primary practice address
2545 Chicago Avenue South Suite 405
Minneapolis MN 55404-4544
Phone: (612) 871-5511
Fax: (612) 871-0996
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43580 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28967 | Minnesota |
Profile Details
| NPI number | 1013999242 |
|---|---|
| LBN Legal business name | Nygren, Linda J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | May 21st, 2010 - about 13 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 | 1013999242 | NPPES |
| Minnesota | MEDICAID | 1013999242 | |
| Minnesota | MEDICAID | 30628600 |
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