Andersen, Steven Lynn

Andersen, Steven Lynn is an individual health care provider with primary practice located at 16366 Pristine Pine Ct , Brainerd MN 56401-6278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Andersen, Steven Lynn can be contacted via phone (218) 232-7928.

Contact Information

Primary practice address
16366 Pristine Pine Ct Brainerd MN 56401-6278
Phone: (218) 232-7928
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43122-020 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40222 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8206A Wyoming

Profile Details

NPI number 1962453993
LBN Legal business name Andersen, Steven Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 10th, 2011 - about 15 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 1962453993 NPPES
Minnesota MEDICAID 106516500
Minnesota MEDICAID 34109000

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