Dickson, Pandora Bazen

Dickson, Pandora Bazen is an sole proprietor health care provider with primary practice located at 7400 122Nd Ave N , Champlin MN 55316-2127. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dickson, Pandora Bazen can be contacted via phone (763) 458-2415.

Contact Information

Primary practice address
7400 122Nd Ave N Champlin MN 55316-2127
Phone: (763) 458-2415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X R188972-5 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7270 Minnesota

Profile Details

NPI number 1578101747
LBN Legal business name Dickson, Pandora Bazen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2019
Last updated Jun 14th, 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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