Underwood-Wright, Georgia
Underwood-Wright, Georgia is an individual health care provider with primary practice located at 300 Lake Dr E , Chanhassen MN 55317-9302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Underwood-Wright, Georgia can be contacted via phone (952) 993-4300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10004 | Minnesota |
Profile Details
| NPI number | 1679552277 |
|---|---|
| LBN Legal business name | Underwood-Wright, Georgia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Oct 4th, 2018 - about 7 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 | 1679552277 | NPPES |
| Minnesota | MEDICAID | 983164900 |
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