1. Home
  2. Directory
  3. Minnesota
  4. Princeton
  5. Psychiatry Neurology
  6. NPI Profile

WEST CENTRAL NEUROLOGY PA
NPI 1720233570
Psychiatry & Neurology - Neurology in Princeton, MN

Active since November 20, 2008
11521 312TH AVE, PRINCETON, MN 55371(763) 389-4910 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About West Central Neurology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST CENTRAL NEUROLOGY PA (NPI 1720233570) is a healthcare organization registered as a neurology in Princeton, Minnesota and active in the NPI registry since November 2008. The organization lists Lawrence John Jedlicka, President, as its authorized official.

NPPES Registry Identity

NPI1720233570
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameWEST CENTRAL NEUROLOGY PA
Location Address11521 312TH AVEPrinceton, MN 55371-3423
Mailing AddressPo Box 110614Anchorage, AK 99511-0614 · (763) 389-4910
Phone(763) 389-4910
Organization SubpartNo
Authorized OfficialLawrence John JedlickaPresident · (907) 290-6355
Enumeration DateNovember 20, 2008
Last NPPES UpdateNovember 19, 2018
✔ NPI 1720233570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MN · 33547
Definition
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.
11521 312TH AVE, Princeton, MN 55371
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Central Neurology PA's NPI number?

The NPI number for West Central Neurology PA is 1720233570. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is West Central Neurology PA located?

West Central Neurology PA is located at 11521 312th Ave, Princeton, MN 55371. The listed phone number is (763) 389-4910.

What is West Central Neurology PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for West Central Neurology PA was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.