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Contact Information

HENDRICKS CLINIC PA
501 E LINCOLN ST
HENDRICKS, MN56136-0026
 Phone: 507-275-3121
 Fax: 507-275-3194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for HENDRICKS CLINIC PA · (Female)

NPI # 1104850510
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2006
Last updated 12/28/2009 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 1757969
  • MN Medicaid 232816000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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