KENNETH E. ETTERMAN M.D.
NPI 1164425781
Family Medicine in Moose Lake,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 27, 2005

Contact Information

4570 Cty. Hwy. 61
Moose Lake,
Post Code: 55767
Phone: (218) 485-4491
Fax: (218) 485-4724

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Kenneth E. Etterman M.d. in Moose Lake - Family Medicine

Kenneth E. Etterman M.d. is a Family Medicine in Moose Lake, . Kenneth E. Etterman M.d. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth E. Etterman M.d. is 1164425781. The last update date is 2012-12-04.

Kenneth E. Etterman M.d.'s current location address is 4570 Cty. Hwy. 61, Moose Lake, . You can contact this provider via phone number (218) 485-4491 and fax number (218) 485-4724. The mailing address for Kenneth E. Etterman M.d. is 4570 Cty. Hwy. 61, Moose Lake, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164425781
Provider Name
KENNETH E. ETTERMAN M.D.
Gender
Male
Entity Type
Individual
Location Address
4570 Cty. Hwy. 61, Moose Lake,
Location Phone
(218) 485-4491
Location Fax
(218) 485-4724
Mailing Address
206 Main St. E., Hinckley, Minnesota(MN)
Mailing Phone
320-384-6618
Mailing Fax
320-384-6635
Enumeration Date
2005-05-27
Last Update Date
2012-12-04
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
23035
License State
Minnesota (MN)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
595790700 MEDICAID (05) Minnesota (MN)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164425781
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211248210716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 211248210716
2 + 1 + 1 + 2 + 4 + 8 + 2 + 1 + 0 + 7 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1164425781 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164425120 BIOSCRIP PHARMACY, INC.
BIOSCRIP PHARMACY
Organization
Durable Medical Equipment & Medical Supplies 10050 CROSSTOWN CIR
EDEN PRAIRIE, Minnesota (MN)
800-753-5995
1164425112 BRIAN JOHN ISETTS
Individual
Pharmacist, Pharmacotherapy 3510 WILD TURKEY RD
RED WING, Minnesota (MN)
651-385-8353
1164424974 SIMON MILSTEIN
Individual
Internal Medicine, Clinical Cardiac Electrophysiology 1200 6TH AVE N
SAINT CLOUD, Minnesota (MN)
320-252-5131
1164424768 LINDA M MILLER
Individual
Nurse Anesthetist, Certified Registered 7313 GARFIELD AVE
RICHFIELD, Minnesota (MN)
1164424370 ROBERT DODGE
Individual
Optometrist PO BOX 48451
COON RAPIDS, Minnesota (MN)