Simonson, Tereasa M

Simonson, Tereasa M is an individual health care provider with primary practice located at 1406 6Th Ave N , Saint Cloud MN 56303-1900. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Simonson, Tereasa M can be contacted via phone (320) 255-5619.

Contact Information

Primary practice address
1406 6Th Ave N Saint Cloud MN 56303-1900
Phone: (320) 255-5619
Fax: (320) 656-7068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 38334 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38334 Minnesota

Profile Details

NPI number 1780684126
LBN Legal business name Simonson, Tereasa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 5th, 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 1780684126 NPPES
Minnesota Other 16-00698 MEDICA
Minnesota Other 26649 MEDICA
Minnesota Other 411772562 MEDICA
Minnesota Other 30005364 MEDICA
Minnesota Other 411772562 MEDICA
Minnesota Other 6D568SI MEDICA
Minnesota Other 965251008760 MEDICA
Minnesota MEDICAID 895819000 MEDICA
Minnesota Other HP25520 MEDICA
Minnesota Other 111039C561 MEDICA

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