Anderson, Timothy James

Anderson, Timothy James is an individual health care provider with primary practice located at 7251 Excelsior Rd , Baxter MN 56425. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Anderson, Timothy James can be contacted via phone (218) 232-6067.

Contact Information

Primary practice address
7251 Excelsior Rd Baxter MN 56425
Phone: (218) 232-6067
Fax: (218) 454-0879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2900 Minnesota

Profile Details

NPI number 1316303928
LBN Legal business name Anderson, Timothy James
Credentials MSLMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2016
Last updated Jan 12th, 2016 - about 9 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 1316303928 NPPES
Minnesota Other L642115036912 DRIVERS LICENSE NUMBER
Minnesota Other 2900 DRIVERS LICENSE NUMBER

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