Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 39275 | MN |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 39275 | MN |
NPI | 1215045885 |
---|---|
Provider Name | Jennifer L Welsh |
First Address | New Brighton, MN 55112-6324 |
Second Address | New Brighton, MN 55112-6324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 16/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01-16224 | MEDICA CHOICE & DUAL (01) | MN |
0556696 | (05) | IA |
1017646 | PREFERRED ONE NUMBER (01) | MN |
10G23WE | BCBS MN (01) | MN |
112848 | UCARE (01) | MN |
32599600 | (05) | WI |
602879900 | (05) | MN |
796807 | AMERICA'S PPO (01) | MN |
G51563 | (02) | MN |
HP27176 | HEALTHPARTNERS NUMBER (01) | MN |