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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1720065345 NPPES
Minnesota MEDICAID 857725100

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