Rasquinha, Clemencia
Rasquinha, Clemencia is an individual health care provider with primary practice located at 1415 Lilac Dr N Ste 190 , Golden Valley MN 55422-4544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Rasquinha, Clemencia can be contacted via phone (763) 267-8701.Contact Information
Primary practice address
1415 Lilac Dr N Ste 190
Golden Valley MN 55422-4544
Phone: (763) 267-8701
Fax: (763) 231-9602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 60102 | Minnesota |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 40773 | Colorado |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 60102 | Minnesota |
Profile Details
| NPI number | 1023021409 |
|---|---|
| LBN Legal business name | Rasquinha, Clemencia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Dec 10th, 2019 - about 7 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 | 1023021409 | NPPES |
| Colorado | MEDICAID | 56229216 |
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