Pederson, Carly P

Pederson, Carly P is an individual health care provider with primary practice located at 18929 149Th St Nw , Elk River MN 55330-8362. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Pederson, Carly P can be contacted via phone (612) 518-7270.

Contact Information

Primary practice address
18929 149Th St Nw Elk River MN 55330-8362
Phone: (612) 518-7270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2433 Minnesota

Profile Details

NPI number 1417394297
LBN Legal business name Pederson, Carly P
Credentials ATC/R
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2013
Last updated Apr 29th, 2021 - about 3 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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