Ellingson, Tamara

Ellingson, Tamara is an individual health care provider with primary practice located at 636 Broadway St Ne , Minneapolis MN 55413-2164. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ellingson, Tamara can be contacted via phone (612) 746-1530.

Contact Information

Primary practice address
636 Broadway St Ne Minneapolis MN 55413-2164
Phone: (612) 746-1530
Fax: (612) 746-1531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H5941 Minnesota

Profile Details

NPI number 1790292035
LBN Legal business name Ellingson, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2018
Last updated Jan 9th, 2018 - about 7 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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