Anderson, Michelle Lynn

Anderson, Michelle Lynn is an individual health care provider with primary practice located at 1300 Anne St Nw , Bemidji MN 56601-5103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Anderson, Michelle Lynn can be contacted via phone (218) 333-5596.

Contact Information

Primary practice address
1300 Anne St Nw Bemidji MN 56601-5103
Fax: (218) 333-5594
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7870A Wyoming
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 107319 Minnesota

Profile Details

NPI number 1265641864
LBN Legal business name Anderson, Michelle Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Dec 26th, 2013 - about 11 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 1265641864 NPPES
Wyoming MEDICAID 126145200
Wyoming MEDICAID 49473743

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