Anderson, Timothy John

Anderson, Timothy John is an individual health care provider with primary practice located at 501 E Nicollet Blvd Suite 200, Burnsville MN 55337-6732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Timothy John can be contacted via phone (952) 898-5900.

Contact Information

Primary practice address
501 E Nicollet Blvd Suite 200 Burnsville MN 55337-6732
Phone: (952) 898-5900
Fax: (952) 898-5914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30239 Minnesota

Profile Details

NPI number 1245243138
LBN Legal business name Anderson, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Sep 8th, 2008 - about 16 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 1245243138 NPPES
Minnesota MEDICAID 416282000
Minnesota Other FP9020802010
Minnesota Other 13183AN
Minnesota Other 1211637

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