Eleanor O Vita
Family Doctor
134 Southview St
Owatonna
, Minnesota 55060-3241
Eleanor O Vita
Family Doctor
134 Southview St
Owatonna
, Minnesota 55060-3241
(507) 444-6287
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Eleanor O Vita
- 2200 Nw 26th St
- Owatonna, MN
- Zip : 55060-5503
- Fax : (507) 444-6287
- Phone : (507) 451-1120
Second Address
- Eleanor O Vita
- 134 Southview St
- Owatonna, MN
- Zip : 55060-3241
- Fax : (507) 444-6287
- Phone : (507) 451-1120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 48412 | MN |
National Provider Identifier
| NPI | 1003855651 |
|---|---|
| Provider Name | Eleanor O Vita |
| First Address | Owatonna, MN 55060-5503 |
| Second Address | Owatonna, MN 55060-3241 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 07/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 064927900 | (05) | MN |
| G56317 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.