Prigge, Roberta Van Amber

Prigge, Roberta Van Amber is an individual health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Prigge, Roberta Van Amber can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
9555 Upland Ln N Maple Grove MN 55369-4485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 39190 Minnesota

Profile Details

NPI number 1639102825
LBN Legal business name Prigge, Roberta Van Amber
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Mar 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639102825 NPPES
Minnesota MEDICAID 795820000

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