Anderson, Gregory J

Anderson, Gregory J is an individual health care provider with primary practice located at 808 3Rd St Se Suite 130, Little Falls MN 56345-3557. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Anderson, Gregory J can be contacted via phone (320) 632-5743.

Contact Information

Primary practice address
808 3Rd St Se Suite 130 Little Falls MN 56345-3557
Phone: (320) 632-5743
Fax: (320) 632-9680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R1442120 Minnesota

Profile Details

NPI number 1083691448
LBN Legal business name Anderson, Gregory J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1083691448 NPPES
Wisconsin MEDICAID 44344900

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