Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 29453-020 | WI |
Y | 207PE0004X | Emergency Medical Services | 37645 | MN |
NPI | 1194894923 |
---|---|
Provider Name | Dr. Jeffery John Huhn |
First Address | Rochester, MN 55901-4148 |
Second Address | Rochester, MN 55905-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31571100W | (05) | WI |
BH8058061 | DEA REGISTRATION NUMBER (01) | |
F08484 | (02) |