Anderson, Thora R
Anderson, Thora R is an sole proprietor health care provider with primary practice located at 1900 8Th Ave. Se , Minot ND 58701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Anderson, Thora R can be contacted via phone (701) 857-5998.Contact Information
Primary practice address
1900 8Th Ave. Se
Minot ND 58701
Phone: (701) 857-5998
Fax: (701) 857-5022
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 307 | North Dakota |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 307 | North Dakota |
Profile Details
NPI number | 1598831562 |
---|---|
LBN Legal business name | Anderson, Thora R |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 28th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598831562 | NPPES |
North Dakota | MEDICAID | 10488 |
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