Ellen B. Rest is a Specialist in Fridley, Minnesota. Ellen B. Rest practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ellen B. Rest is 1477598985. The last update date is 2013-11-04.
Ellen B. Rest's current location address is 7205 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7635714000 and fax number 7635717202. The mailing address for Ellen B. Rest is 7205 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ellen B. Rest |
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Address | 7205 University Ave Ne, Fridley, Minnesota |
Phone Number | 7635714000 |
Fax Number | 7635717202 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1477598985 |
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Provider Enumeration Date | 2006-06-18 |
Last Updated Date | 2013-11-04 |
Provider Mailing Address Detail
Address | 7205 University Ave Ne |
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City | Fridley |
State | Minnesota (MN) |
Post Code | 554323134 |
Phone Number | 7635714000 |
Fax Number | 7635717202 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 34663 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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708078600 | MN | -- |
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What is the unique 10-digit identifier code issued to Ellen B. Rest by the Centers for Medicare & Medicaid Services?
The Ellen B. Rest has been assigned the NPI (National Provider Identifier) 1477598985 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Ellen B. Rest's physical address?
The Ellen B. Rest is physically located at 7205 University Ave Ne, in the city of Fridley, MN, with the postal code 554323134.
What is Ellen B. Rest's area of expertise and its corresponding taxonomy classification?
The Ellen B. Rest's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did Ellen B. Rest receive its 1477598985 assignment from the Centers for Medicare & Medicaid Services?
The Ellen B. Rest was assigned its 1477598985 on 2006-06-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ellen B. Rest most recently updated or revised?
The information pertaining to Ellen B. Rest, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-04.
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