Sanderson, Scott Ehren

Sanderson, Scott Ehren is an individual health care provider with primary practice located at 3100 W 70Th St , Edina MN 55435-4227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Sanderson, Scott Ehren can be contacted via phone (952) 848-8312.

Contact Information

Primary practice address
3100 W 70Th St Edina MN 55435-4227
Phone: (952) 848-8312
Fax: (952) 848-8313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 48523 Minnesota

Profile Details

NPI number 1093755282
LBN Legal business name Sanderson, Scott Ehren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 30th, 2015 - about 10 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 1093755282 NPPES
Minnesota MEDICAID 969457900

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