Andersen, Nicci
Andersen, Nicci is an individual health care provider with primary practice located at 7505 Country Club Dr , Golden Valley MN 55427-4501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Andersen, Nicci can be contacted via phone (763) 450-6901.Contact Information
Primary practice address
7505 Country Club Dr
Golden Valley MN 55427-4501
Phone: (763) 450-6901
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 103999 | Minnesota |
Profile Details
NPI number | 1487959250 |
---|---|
LBN Legal business name | Andersen, Nicci |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2011 |
Last updated | Jan 25th, 2011 - about 14 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 | 1487959250 | NPPES |
Minnesota | Other | 103999 | STATE LICENSE |
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