Andre, Benjamin Luke
Andre, Benjamin Luke is an individual health care provider with primary practice located at 1398 Lake St S Ste 100 , Forest Lake MN 55025-2720. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Andre, Benjamin Luke can be contacted via phone (651) 275-2700.Contact Information
Primary practice address
1398 Lake St S Ste 100
Forest Lake MN 55025-2720
Phone: (651) 275-2700
Fax: (651) 309-0000
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11907 | Minnesota |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 15398-24 | Wisconsin |
Profile Details
NPI number | 1972180271 |
---|---|
LBN Legal business name | Andre, Benjamin Luke |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2021 |
Last updated | Jun 12th, 2023 - about last year |
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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