Psychiatry & Neurology in BURNSVILLE, MN
Last Updated on : Mar 04,2019
INGRID ABOLS-MANTYH is a Psychiatry & Neurology provider in BURNSVILLE, United States. Her medical specialization is Psychiatry & Neurology with a focus in Neurology.
1487607495 is NPI number of INGRID ABOLS-MANTYH.
INGRID ABOLS-MANTYH's primary taxonomy code based on NPI Lookup is 2084N0400X with license number 29023. This taxonomy code refers to Psychiatry & Neurology.
INGRID ABOLS-MANTYH has more than 16 years of experience.
INGRID ABOLS-MANTYH current practice location address is 675 E NICOLLET BLVD, BURNSVILLE, MN. INGRID ABOLS-MANTYH can be reached out via phone at 952-435-8516 and via fax at 763-302-4336 .
You can also correspond with INGRID ABOLS-MANTYH through mail at mailing address 501 E NICOLLET BLVD, BURNSVILLE, MN, United States. Mailing address contact number is 952-435-8516.
The enumeration date of INGRID ABOLS-MANTYH is 19-May-2006. The provider is registered as an Individual and the NPI record was last updated 4 years ago.Basic NPI information of INGRID ABOLS-MANTYH (NPI 1487607495) is provided below.
Name | INGRID ABOLS-MANTYH |
---|---|
National Provider Id (NPI) | 1487607495 |
Entity Type | Individual |
Gender | F |
Credential | M.D. |
Practice Address | 675 E NICOLLET BLVD,
SUITE 100
BURNSVILLE, MN, United States |
Practice Telephone | 952-435-8516 |
Practice Fax Number | 763-302-4336 |
Mailing Address | 501 E NICOLLET BLVD ,
STE 100
BURNSVILLE, MN, United States |
Mailing Telephone | 952-435-8516 |
Mailing Fax Number | 763-302-4336 |
Enumeration Date | 19-May-2006 |
Last Updated Date | 04-Mar-2019 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Psychiatry & Neurology, Neurology | 29023 | MN |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
0265035 | Other (non-Medicare) (01) | MN | Preferred One |
0517222 | Other (non-Medicare) (01) | MN | Medica |
100274C029 | Other (non-Medicare) (01) | MN | UCare |
130004283 | Other (non-Medicare) (01) | MN | Railroad Medicare |
19364AB | Other (non-Medicare) (01) | MN | BCBS of MN |
22665 | Other (non-Medicare) (01) | MN | America's PPO |
31534800 | MEDICAID (05) | WI | |
9040978000 | MEDICAID (05) | MN | |
HP12761 | Other (non-Medicare) (01) | MN | HealthPartners |
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---|---|---|---|---|
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11-May-2023 |
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26-Oct-2012 |
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1992470389 | A CARING ALTERNATIVE LLC | Community/Behavioral Health | PO BOX 1536,
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09-Aug-2021 |
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24-Aug-2021 |
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16-Dec-2019 |
1275984429 | A&A CARE TRANSPORTATION INC | Non-emergency Medical Transport (VAN) | 135 W MAIN ST,
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29-Jun-2016 |
1558984658 | HAMDI A ABAS | Behavior Technician | 1509 SOUTHCROSS DR W,
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22-May-2020 |
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14-Jun-2007 |
1437392271 | ABBOTT HOME HEALTH CARE | Home Health | 201 MCANDREWS RD W,
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19-Feb-2019 |
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09-May-2022 |
1770217754 | MARYAN ABDI | Behavior Technician | 1501 SOUTHCROSS DR W,
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14-Jul-2022 |
1447994603 | NASRA ABDI | Behavior Technician | 105 CARMEL AVE S #118 W,
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25-Apr-2022 |
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04-Jul-2022 |
1033867965 | SAMIRA ABDI | Behavior Technician | 2344 HELEN ST N,
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10-Mar-2022 |
1275206591 | ZAMZAM ABDIAZIIZ | Behavior Technician | 4 PINE TREE DR,
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01-Aug-2021 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1487607495 is the NPI number of INGRID ABOLS-MANTYH.
What is the specialty for INGRID ABOLS-MANTYH?The Specialty of INGRID ABOLS-MANTYH is Psychiatry & Neurology.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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