Andersen, Keith C

Andersen, Keith C is an individual health care provider with primary practice located at 69 Exchange St W , Saint Paul MN 55102-1004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andersen, Keith C can be contacted via phone (651) 735-0501.

Contact Information

Primary practice address
69 Exchange St W Saint Paul MN 55102-1004
Phone: (651) 735-0501
Fax: (651) 735-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R1107740 Minnesota

Profile Details

NPI number 1629177407
LBN Legal business name Andersen, Keith C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 14th, 2010 - about 15 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 1629177407 NPPES
Minnesota MEDICAID 593516400

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