Danger, Theodore Mark

Danger, Theodore Mark is an sole proprietor health care provider with primary practice located at 14700 28Th Ave N Ste 20 , Plymouth MN 55447-4876. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Danger, Theodore Mark can be contacted via phone (763) 559-3779.

Contact Information

Primary practice address
14700 28Th Ave N Ste 20 Plymouth MN 55447-4876
Phone: (763) 559-3779
Fax: (763) 450-3986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 2482206 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2488 Minnesota

Profile Details

NPI number 1104440783
LBN Legal business name Danger, Theodore Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2020
Last updated Jun 29th, 2020 - about 4 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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