Wallerich, Annalise

Wallerich, Annalise is an individual health care provider with primary practice located at 2232 Hennepin Ave , Minneapolis MN 55405-2737. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Wallerich, Annalise can be contacted via phone (612) 377-6108.

Contact Information

Primary practice address
2232 Hennepin Ave Minneapolis MN 55405-2737
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X DT134 Minnesota

Profile Details

NPI number 1033729033
LBN Legal business name Wallerich, Annalise
Credentials RDH, DT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2020
Last updated Aug 4th, 2020 - about 4 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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