Thorsen, Richard Douglas

Thorsen, Richard Douglas is an individual health care provider with primary practice located at 11215 Dakotah St Nw , Coon Rapids MN 55433-2563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Thorsen, Richard Douglas can be contacted via phone (763) 208-5182.

Contact Information

Primary practice address
11215 Dakotah St Nw Coon Rapids MN 55433-2563
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 24128 Minnesota

Profile Details

NPI number 1578674818
LBN Legal business name Thorsen, Richard Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1578674818 NPPES
Minnesota MEDICAID 238098600

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