Anderson, Gregory T

Anderson, Gregory T is an individual health care provider with primary practice located at 214 W Superior St Skywalk Level, Duluth MN 55802-1904. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Anderson, Gregory T can be contacted via phone (218) 722-2273.

Contact Information

Primary practice address
214 W Superior St Skywalk Level Duluth MN 55802-1904
Phone: (218) 722-2273
Fax: (218) 726-1183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP1457 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7341 Minnesota

Profile Details

NPI number 1285741819
LBN Legal business name Anderson, Gregory T
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated May 24th, 2012 - about 12 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 1285741819 NPPES
Minnesota Other 1016110 PREFERRED ONE BHP
Minnesota Other 46092 PREFERRED ONE BHP
Minnesota Other 024 R1LA PREFERRED ONE BHP
Minnesota MEDICAID 943752500 PREFERRED ONE BHP
Minnesota Other 106621 PREFERRED ONE BHP
Minnesota Other 62-21313 PREFERRED ONE BHP

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