Laverne, Sandra

Laverne, Sandra is an individual health care provider with primary practice located at 2835 W Saint Germain St Suite 300, Saint Cloud MN 56301-4743. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Laverne, Sandra can be contacted via phone (320) 259-4151.

Contact Information

Primary practice address
2835 W Saint Germain St Suite 300 Saint Cloud MN 56301-4743
Phone: (320) 259-4151
Fax: (320) 259-5707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X MN5779 Minnesota

Profile Details

NPI number 1205890902
LBN Legal business name Laverne, Sandra
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1205890902 NPPES
Minnesota Other 6405071 MEDICA PROVIDER ID
Minnesota Other 03S81LA MEDICA PROVIDER ID
Minnesota Other 41163580956301B011 MEDICA PROVIDER ID

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