Kanzenbach, Todd Laverne

Kanzenbach, Todd Laverne is an individual health care provider with primary practice located at 21 Carkoski Commons Minnesota State University, Mankato, Mankato MN 56001-6030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kanzenbach, Todd Laverne can be contacted via phone (507) 389-6276.

Contact Information

Primary practice address
21 Carkoski Commons Minnesota State University, Mankato Mankato MN 56001-6030
Phone: (507) 389-6276
Fax: (507) 389-5787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 38627 Minnesota

Profile Details

NPI number 1124016597
LBN Legal business name Kanzenbach, Todd Laverne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 20th, 2022 - about 2 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 1124016597 NPPES
Minnesota Other 01-09557 MEDICA
Minnesota Other 247M1KA MEDICA
Minnesota Other 140293 MEDICA

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