Anderson, Bruce William
Anderson, Bruce William is an sole proprietor health care provider with primary practice located at 2725 Fox Farm Rd , Worthington MN 56187-3040. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Anderson, Bruce William can be contacted via phone (507) 372-2869.Contact Information
Primary practice address
2725 Fox Farm Rd
Worthington MN 56187-3040
Phone: (507) 372-2869
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 8245 | Minnesota |
Profile Details
NPI number | 1124663067 |
---|---|
LBN Legal business name | Anderson, Bruce William |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 14th, 2019 |
Last updated | Nov 14th, 2019 - about 6 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 | 1124663067 | NPPES |
Other | NONE | NONE |
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