1134404908 NPI number — DR. WHITNEY FINKE MD

Table of content: BRETT WARREN MACLENNAN DPT (NPI 1477974814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134404908 NPI number — DR. WHITNEY FINKE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FINKE
Provider First Name:
WHITNEY
Provider Middle Name:
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:
1134404908
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
166 4TH ST. E.
Provider Second Line Business Mailing Address:
STE. 100
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-292-2000
Provider Business Mailing Address Fax Number:
651-292-2192

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
166 4TH ST. E.
Provider Second Line Business Practice Location Address:
STE. 100
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-292-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2011

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: 2085R0202X , with the licence number:  MD19035 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 04-39705 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 29885 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 11016811A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 9705856-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 58005 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 111257100 . This is a "MEDICARE PIN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: NA1214114 . This is a "MEDICARE PIN" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: NA1215115 . This is a "MEDICARE PIN" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: NA2517092 . This is a "MEDICARE PIN" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 561587ZNTB . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 561587ZLJ3 . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 561587YQ33 . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 561587YQPG . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 561587YQN9 . This is a "MEDICARE PIN" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: KA3249091 . This is a "MEDICARE PIN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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