Anderson, Donna

Anderson, Donna is an sole proprietor health care provider with primary practice located at 1711 County Road B W Rosewood Office Plaza Suite 210S, Roseville MN 55113-4057. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Donna can be contacted via phone (651) 621-2495.

Contact Information

Primary practice address
1711 County Road B W Rosewood Office Plaza Suite 210S Roseville MN 55113-4057
Phone: (651) 621-2495
Fax: (651) 621-2496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1288 Minnesota

Profile Details

NPI number 1669491908
LBN Legal business name Anderson, Donna
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Nov 8th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669491908 NPPES
Minnesota Other 62-20080 UBH
Minnesota Other 0G034AN UBH
Minnesota Other 990990570030 UBH
Minnesota Other 106222 UBH
Minnesota MEDICAID 658755100 UBH

Popular Providers