Anderson, Gary C
Anderson, Gary C is an individual health care provider with primary practice located at 2500 Como Avenue - Ms 31100A Health Partners Como Clinic, St Paul MN 55108-1460. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Gary C can be contacted via phone (651) 641-6200.Contact Information
Primary practice address
2500 Como Avenue - Ms 31100A Health Partners Como Clinic
St Paul MN 55108-1460
Phone: (651) 641-6200
Fax: (651) 641-6205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8992 | Minnesota |
Profile Details
| NPI number | 1851482152 |
|---|---|
| LBN Legal business name | Anderson, Gary C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Dec 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851482152 | NPPES |
| Minnesota | MEDICAID | 165320200 |
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