Buganski, Phillip
Buganski, Phillip is an sole proprietor health care provider with primary practice located at 3580 Arcade St , Vadnais Heights MN 55127-7135. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Buganski, Phillip can be contacted via phone (651) 968-5200.Contact Information
Primary practice address
3580 Arcade St
Vadnais Heights MN 55127-7135
Phone: (651) 968-5200
Fax: (651) 730-3750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 2389 | Minnesota |
Profile Details
NPI number | 1174110043 |
---|---|
LBN Legal business name | Buganski, Phillip |
Credentials | LAT, OTC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 28th, 2020 |
Last updated | Dec 28th, 2020 - about 5 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 | 1174110043 | NPPES |
Minnesota | Other | 2389 | LICENSE |
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