Broder, Laura Evavold
Broder, Laura Evavold is an sole proprietor health care provider with primary practice located at 1885 Plaza Dr , Eagan MN 55122-2979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Broder, Laura Evavold can be contacted via phone (952) 993-4001.Contact Information
Primary practice address
1885 Plaza Dr
Eagan MN 55122-2979
Phone: (952) 993-4001
Fax: (952) 993-4095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52647 | Minnesota |
Profile Details
| NPI number | 1881858363 |
|---|---|
| LBN Legal business name | Broder, Laura Evavold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2008 |
| Last updated | Mar 3rd, 2016 - about 8 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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