Anderson, Emily Rae

Anderson, Emily Rae is an individual health care provider with primary practice located at 12736 Bass Lake Rd , Maple Grove MN 55369-6307. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Anderson, Emily Rae can be contacted via phone (763) 559-2082.

Contact Information

Primary practice address
12736 Bass Lake Rd Maple Grove MN 55369-6307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X DT140 Minnesota

Profile Details

NPI number 1780257212
LBN Legal business name Anderson, Emily Rae
Credentials DT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2021
Last updated Jul 22nd, 2021 - about 3 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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