National Provider Identifier Database

STUDENT HEALTH SERVICE UNIVERSITY OF ST THOMAS
Student Health


Contact Information

STUDENT HEALTH SERVICE UNIVERSITY OF ST. THOMAS
2115 SUMMIT AVE
MAILBOX #5056
SAINT PAUL, MN55105-1048
Phone: 651-962-6750
Fax: 651-962-6751
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for STUDENT HEALTH SERVICE UNIVERSITY OF ST. THOMAS

NPI Number 1881819886
Legal business name
LBN
STUDENT HEALTH SERVICE UNIVERSITY OF ST. THOMAS
Authorized official MADONNA MC DERMOTT - (DIRECTOR STUDENT HEALTH SERVICE)
Entity Organization
Organization subpart No
Enumeration date 04/16/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: MN32783
  • MN Other: 1215999081 NPI DR. MARILEE VOTEL-KVA
  • MN Other: 1669443222 NPI DR. THOMAS THUL
  • MN Other: 1225156227 NPI GAIL CONZEMIUS
  • MN Other: 1114057510 NPI KATE BOOTH, NP
  • MN Other: 1184740664 NPI MADONNA MCDERMOTT

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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