Sedra, Hazem M
Sedra, Hazem M is an sole proprietor health care provider with primary practice located at 213 Labree Ave N Ste 207 , Thief River Falls MN 56701-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sedra, Hazem M can be contacted via phone (218) 683-5137.Contact Information
Primary practice address
213 Labree Ave N Ste 207
Thief River Falls MN 56701-2022
Phone: (218) 683-5137
Fax: (218) 683-5413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47271 | Minnesota |
Profile Details
| NPI number | 1669408753 |
|---|---|
| LBN Legal business name | Sedra, Hazem M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Apr 1st, 2013 - 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 | 1669408753 | NPPES |
| Minnesota | Other | HP47445 | HEALTHPARTNERS # |
| Minnesota | Other | 0119356 | HEALTHPARTNERS # |
| Minnesota | Other | DA9021042392 | HEALTHPARTNERS # |
| Minnesota | Other | 24944 | HEALTHPARTNERS # |
| Minnesota | MEDICAID | 590610500 | HEALTHPARTNERS # |
| Minnesota | Other | 2211190 | HEALTHPARTNERS # |
| Minnesota | Other | 37639 | HEALTHPARTNERS # |
| Minnesota | MEDICAID | 13233 | HEALTHPARTNERS # |
| Minnesota | Other | 137012 | HEALTHPARTNERS # |
| Minnesota | Other | 910S0SE | HEALTHPARTNERS # |
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