Peterson, Tanya Schulz
Peterson, Tanya Schulz is an individual health care provider with primary practice located at 550 W. Burnsville Pkwy Suite 200, Burnsville MN 55337. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Peterson, Tanya Schulz can be contacted via phone (952) 890-2791.Contact Information
Primary practice address
550 W. Burnsville Pkwy Suite 200
Burnsville MN 55337
Phone: (952) 890-2791
Fax: (952) 277-0200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11137 | Minnesota |
Profile Details
| NPI number | 1427036714 |
|---|---|
| LBN Legal business name | Peterson, Tanya Schulz |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Aug 26th, 2010 - about 15 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 | 1427036714 | NPPES |
| Minnesota | MEDICAID | 299317100 | |
| Minnesota | Other | 28012SC |
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