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Contact Information

NICHOLAS C BJORE, PA-C
3580 ARCADE ST
VADNAIS HEIGHTS, MN55127-7135
 Phone: 651-968-5200
 Fax: 651-968-5903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICHOLAS C BJORE · (Male)

NPI Number 1235420670
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/20/2011
Last updated 08/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11440
  • ND License # PAC0532
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
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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