Anderson, Amy
Anderson, Amy is an individual health care provider with primary practice located at 525 Portland Ave Mc: 952, Minneapolis MN 55415-1533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Anderson, Amy can be contacted via phone (612) 348-9840.Contact Information
Primary practice address
525 Portland Ave Mc: 952
Minneapolis MN 55415-1533
Phone: (612) 348-9840
Fax: (612) 596-7900
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R 093789-8 | Minnesota |
Profile Details
NPI number | 1518976851 |
---|---|
LBN Legal business name | Anderson, Amy |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Apr 15th, 2013 - about 12 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 | 1518976851 | NPPES |
Minnesota | Other | 342842700 | MEDICAL ASSISTANCE |
Minnesota | Other | 6982979 | MEDICAL ASSISTANCE |
Minnesota | Other | 0400623 | MEDICAL ASSISTANCE |
Minnesota | Other | HP21014 | MEDICAL ASSISTANCE |
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