Anderson, Shirley M

Anderson, Shirley M is an individual health care provider with primary practice located at 1421 Premier Dr Mankato Clinic At Wickersham Campus, Mankato MN 56001. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Anderson, Shirley M can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1421 Premier Dr Mankato Clinic At Wickersham Campus Mankato MN 56001
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 6054 Minnesota

Profile Details

NPI number 1124007463
LBN Legal business name Anderson, Shirley M
Credentials MA CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Jul 9th, 2020 - about 4 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 1124007463 NPPES
Minnesota MEDICAID 586515800
Minnesota Other NA2951023870
Minnesota Other 29Q96AN
Minnesota Other 117664
Minnesota Other 640003648
Minnesota Other 1758785
Minnesota Other 4511090
Minnesota Other HP40597

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