Anderson, Alan E

Anderson, Alan E is an individual health care provider with primary practice located at 9905 45Th Avenue North Suite 110, Plymouth MN 55442-3315. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Alan E can be contacted via phone (763) 595-8414.

Contact Information

Primary practice address
9905 45Th Avenue North Suite 110 Plymouth MN 55442-3315
Phone: (763) 595-8414
Fax: (763) 595-8414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1972 Minnesota

Profile Details

NPI number 1578626628
LBN Legal business name Anderson, Alan E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 10th, 2016 - about 10 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 1578626628 NPPES
Minnesota Other 117109 UCARE MN
Minnesota Other 2499537 UCARE MN
Minnesota MEDICAID 018023800 UCARE MN
Minnesota Other 2200080 UCARE MN
Minnesota Other 51D66AN UCARE MN
Minnesota Other 2201446 UCARE MN
Minnesota Other 23979 UCARE MN
Minnesota Other 410046879 UCARE MN

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