Solberg, Carolyn S.

Solberg, Carolyn S. is an individual health care provider with primary practice located at 12720 Bass Lake Rd , Maple Grove MN 55369-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Solberg, Carolyn S. can be contacted via phone (763) 559-2861.

Contact Information

Primary practice address
12720 Bass Lake Rd Maple Grove MN 55369-6307
Phone: (763) 559-2861
Fax: (763) 559-1338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R 106161-1 Minnesota

Profile Details

NPI number 1770551384
LBN Legal business name Solberg, Carolyn S.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 22nd, 2011 - about 15 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 1770551384 NPPES
Minnesota MEDICAID 667726600

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