1144390089 NPI number — DR. ELIZABETH RACHEL SEAQUIST MD

Table of content: (NPI 1356531909)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144390089 NPI number — DR. ELIZABETH RACHEL SEAQUIST MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEAQUIST
Provider First Name:
ELIZABETH
Provider Middle Name:
RACHEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144390089
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
420 DELAWARE STREET SE, MMC 101
Provider Second Line Business Mailing Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55455
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-625-8690
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
516 DELAWARE STREET SE, CLINIC 6A
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-625-8690
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X , with the licence number:  27981 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1009304 . This is a "PREFERRED ONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 31620900 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5T602SE . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3324560 . This is a "MEDICA CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0051663 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0500470 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 33-74530 . This is a "MEDICA PRIMARY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 577277000 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 101015 . This is a "UCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 768338 . This is a "ARAZ" identifier . This identifiers is of the category "OTHER".
  • Identifier: HP22062 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com