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ELLIE EUN JU CHOI D.O. NPI 1477725133


NPI Information

NPI: 1477725133
Provider Name: ELLIE EUN JU CHOI, D.O.
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Individual

Specialization: Vascular Neurology

Organization: OVERLAKE MEDICAL CLINICS LLC

PECOS Registration: Yes

Address:
401 PHALEN BLVD
MAIL STOP 41104C
SAINT PAUL, MN
ZIP 55130
Phone: (651) 254-3705
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Ellie Eun Ju Choi, D.O. is a vascular neurology psychiatry neurology in Saint Paul, MN with 16 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. Ellie Eun Ju Choi, D.O. NPI is 1477725133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 PHALEN BLVD
MAIL STOP 41104C
SAINT PAUL, MN
ZIP 55130-302
Phone: (651) 254-3705

The NPI 1477725133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 7/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084V0102XPsychiatry & NeurologyVascular NeurologyP0712TEXASNo
22084V0102XPsychiatry & NeurologyVascular Neurology56289MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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