Anco, Dennis Leo

Anco, Dennis Leo is an sole proprietor health care provider with primary practice located at 1854 Evergreen Draw , Woodbury MN 55125-2306. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Anco, Dennis Leo can be contacted via phone (763) 228-5697.

Contact Information

Primary practice address
1854 Evergreen Draw Woodbury MN 55125-2306
Phone: (763) 228-5697
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 1089 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 1089 Minnesota

Profile Details

NPI number 1013568229
LBN Legal business name Anco, Dennis Leo
Credentials CPO, LPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2019
Last updated Sep 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013568229 NPPES
Other CPO04135 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS
Other 1089 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS

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