Stafford, Annie Marie
Stafford, Annie Marie is an sole proprietor health care provider with primary practice located at 1101 E 78Th St Ste 100 , Bloomington MN 55420-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stafford, Annie Marie can be contacted via phone (529) 854-5034.Contact Information
Primary practice address
1101 E 78Th St Ste 100
Bloomington MN 55420-1402
Phone: (529) 854-5034
Fax: (952) 854-5363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302350 | Minnesota |
Profile Details
| NPI number | 1508180316 |
|---|---|
| LBN Legal business name | Stafford, Annie Marie |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Oct 23rd, 2018 - about 6 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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