Nordblom, Deborrah Jane

Nordblom, Deborrah Jane is an individual health care provider with primary practice located at 14990 Glazier Ave , Apple Valley MN 55124-7818. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Nordblom, Deborrah Jane can be contacted via phone (952) 431-5114.

Contact Information

Primary practice address
14990 Glazier Ave Apple Valley MN 55124-7818
Phone: (952) 431-5114
Fax: (952) 431-3576
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10101 Minnesota
Dental Providers / General Practice 1223G0001X 10101 Minnesota

Profile Details

NPI number 1821155573
LBN Legal business name Nordblom, Deborrah Jane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 5th, 2019 - about 5 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 1821155573 NPPES
Minnesota Other 000724372 UNITED CONCORDIA

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