Sanneman, Thomas C

Sanneman, Thomas C is an individual health care provider with primary practice located at 8681 Eagle Point Blvd , Lake Elmo MN 55042-8628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sanneman, Thomas C can be contacted via phone (651) 735-0501.

Contact Information

Primary practice address
8681 Eagle Point Blvd Lake Elmo MN 55042-8628
Fax: (651) 735-1870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 45842 Minnesota

Profile Details

NPI number 1124098181
LBN Legal business name Sanneman, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 20th, 2012 - about 12 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 1124098181 NPPES
Minnesota MEDICAID 707620700

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