Maytan, Linda M
Maytan, Linda M is an individual health care provider with primary practice located at 400 4Th St Nw Suite A3A, Faribault MN 55021-5031. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Maytan, Linda M can be contacted via phone (507) 384-6830.Contact Information
Primary practice address
400 4Th St Nw Suite A3A
Faribault MN 55021-5031
Phone: (507) 384-6830
Fax: (651) 431-5575
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 11380 | Minnesota |
Dental Providers / Dentist | 122300000X | 21230 | Massachusetts |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 21230 | Massachusetts |
Profile Details
NPI number | 1295867562 |
---|---|
LBN Legal business name | Maytan, Linda M |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 12th, 2007 |
Last updated | Aug 27th, 2015 - about 10 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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