National Provider Identifier Database

EAGAN CHILD AND FAMILY CARE PA
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

EAGAN CHILD AND FAMILY CARE, P.A.
4178 KNOB DR
SUITE A
EAGAN, MN55122-2888
Phone: 651-209-8640
Fax: 651-209-8690
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Family 363LF0000X
Family Medicine 207Q00000X
Pediatrics 363LP0200X
Women's Health 363LW0102X

* Indicates primary specialty

NPI Profile & details for EAGAN CHILD AND FAMILY CARE, P.A.

NPI Number 1629000682
Legal business name
LBN
EAGAN CHILD AND FAMILY CARE, P.A.
Authorized official GRETCHEN MOEN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/07/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1650

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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