Anderson, David Michael

Anderson, David Michael is an sole proprietor health care provider with primary practice located at 24799 Forest Blvd , Forest Lake MN 55025-7215. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Anderson, David Michael can be contacted via phone (651) 257-4406.

Contact Information

Primary practice address
24799 Forest Blvd Forest Lake MN 55025-7215
Phone: (651) 257-4406
Fax: (651) 257-4406
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1063 Minnesota

Profile Details

NPI number 1417031667
LBN Legal business name Anderson, David Michael
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1417031667 NPPES
Minnesota Other 96D29AN BLUEPLUS
Minnesota Other 172491 BLUEPLUS
Minnesota Other 96D29AN BLUEPLUS
Minnesota Other 6274978 BLUEPLUS
Minnesota Other 172491 BLUEPLUS

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