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Contact Information

PATRICIA J DE LOYAL, PA-C
1805 HENNEPIN AVE N
GLENCOE, MN55336
 Phone: 320-864-3121
 Fax: 320-864-7998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PATRICIA J DE LOYAL · (Female)

NPI # 1083081582
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/01/2015
Last updated 01/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 12696
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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