Patacsil, Maria Lydia

Patacsil, Maria Lydia is an individual health care provider with primary practice located at 1527 Broadway St , Alexandria MN 56308-2537. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Patacsil, Maria Lydia can be contacted via phone (320) 762-0399.

Contact Information

Primary practice address
1527 Broadway St Alexandria MN 56308-2537
Phone: (320) 762-0399
Fax: (320) 762-6847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 48187 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 48187 Minnesota

Profile Details

NPI number 1205807310
LBN Legal business name Patacsil, Maria Lydia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 17th, 2014 - about 12 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 1205807310 NPPES
Minnesota Other 378G2PA BLUE SHIELD
Minnesota MEDICAID 444763800 BLUE SHIELD
Minnesota Other 0407936 BLUE SHIELD
Minnesota Other A031 BLUE SHIELD
Minnesota Other 2392827 BLUE SHIELD
Minnesota Other HP57349 BLUE SHIELD

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