Nottleson, Andrew N
Nottleson, Andrew N is an individual health care provider with primary practice located at 2831 Snelling Ave N , Roseville MN 55113-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nottleson, Andrew N can be contacted via phone (651) 765-5900.Contact Information
Primary practice address
2831 Snelling Ave N
Roseville MN 55113-1712
Phone: (651) 765-5900
Fax: (651) 765-5901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38038 | Minnesota |
Profile Details
| NPI number | 1295700854 |
|---|---|
| LBN Legal business name | Nottleson, Andrew N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Nov 3rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295700854 | NPPES |
| Minnesota | MEDICAID | 165213300 |
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