Anderson, Gregory S

Anderson, Gregory S is an individual health care provider with primary practice located at Hwy 1 Hospital Drive Box 497, Red Lake MN 56671-0497. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Anderson, Gregory S can be contacted via phone (218) 679-3912.

Contact Information

Primary practice address
Hwy 1 Hospital Drive Box 497 Red Lake MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 32831 Minnesota

Profile Details

NPI number 1033140561
LBN Legal business name Anderson, Gregory S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 21st, 2008 - about 18 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 1033140561 NPPES
Minnesota Other 34G00AN BC/BS OF MN
Minnesota MEDICAID 476753500 BC/BS OF MN

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