Osgood, Deborah R

Osgood, Deborah R is an individual health care provider with primary practice located at 11091 Ulysses St. Ne Suite 100, Blaine MN 55434. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Osgood, Deborah R can be contacted via phone (612) 879-1000.

Contact Information

Primary practice address
11091 Ulysses St. Ne Suite 100 Blaine MN 55434
Phone: (612) 879-1000
Fax: (612) 879-0722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 8942 Minnesota

Profile Details

NPI number 1881698801
LBN Legal business name Osgood, Deborah R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Dec 22nd, 2010 - about 16 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 1881698801 NPPES
Minnesota MEDICAID 547077300

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