Anders Gobar, Mary Ann
Anders Gobar, Mary Ann is an sole proprietor health care provider with primary practice located at 700 Twelve Oaks Center Dr Suite 734, Wayzata MN 55391-4401. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Anders Gobar, Mary Ann can be contacted via phone (952) 406-1710.Contact Information
Primary practice address
700 Twelve Oaks Center Dr Suite 734
Wayzata MN 55391-4401
Phone: (952) 406-1710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3976 | Minnesota |
Profile Details
| NPI number | 1720065345 |
|---|---|
| LBN Legal business name | Anders Gobar, Mary Ann |
| Credentials | M.A., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Jan 13th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720065345 | NPPES |
| Minnesota | MEDICAID | 857725100 |
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