Combo, Annette J

Combo, Annette J is an individual health care provider with primary practice located at 8990 Springbrook Dr Nw Suite 250, Coon Rapids MN 55433-5850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Combo, Annette J can be contacted via phone (763) 398-1162.

Contact Information

Primary practice address
8990 Springbrook Dr Nw Suite 250 Coon Rapids MN 55433-5850
Phone: (763) 398-1162
Fax: (763) 398-0124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R1122055 Minnesota

Profile Details

NPI number 1477554970
LBN Legal business name Combo, Annette J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 15th, 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 1477554970 NPPES
Minnesota Other 07A16CO BCBSMN
Minnesota MEDICAID 248024700 BCBSMN

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