Thackeray, Erin Withers

Thackeray, Erin Withers is an individual health care provider with primary practice located at 9145 Springbrook Dr Nw Ste 200 , Coon Rapids MN 55433-5886. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Thackeray, Erin Withers can be contacted via phone (612) 871-1145.

Contact Information

Primary practice address
9145 Springbrook Dr Nw Ste 200 Coon Rapids MN 55433-5886
Phone: (612) 871-1145
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 499874 Minnesota
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 49874 Minnesota

Profile Details

NPI number 1457472268
LBN Legal business name Thackeray, Erin Withers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Oct 22nd, 2024 - about 2 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 1457472268 NPPES
Minnesota MEDICAID 252403000
Minnesota Other P01034526

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