Anderson, Gerald
Anderson, Gerald is an sole proprietor health care provider with primary practice located at 14040 81St Ave N , Maple Grove MN 55311-2250. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Anderson, Gerald can be contacted via phone (763) 657-1502.Contact Information
Primary practice address
14040 81St Ave N
Maple Grove MN 55311-2250
Phone: (763) 657-1502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D10424 | Minnesota |
Profile Details
| NPI number | 1659402477 |
|---|---|
| LBN Legal business name | Anderson, Gerald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | May 5th, 2008 - about 16 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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