Anderson, Amanda

Anderson, Amanda is an individual health care provider with primary practice located at 4300 Marketpointe Dr Ste 100 , Bloomington MN 55435-5435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Anderson, Amanda can be contacted via phone (952) 835-9880.

Contact Information

Primary practice address
4300 Marketpointe Dr Ste 100 Bloomington MN 55435-5435
Phone: (952) 835-9880
Fax: (952) 857-1554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7948 Nebraska
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 67922 Minnesota

Profile Details

NPI number 1578083846
LBN Legal business name Anderson, Amanda
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2017
Last updated Jul 24th, 2020 - about 5 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 1578083846 NPPES
Minnesota MEDICAID 67922

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