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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124663067 NPPES
Other NONE NONE

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