Anderson, Michelle Lynn
Anderson, Michelle Lynn is an individual health care provider with primary practice located at 1300 Anne St Nw , Bemidji MN 56601-5103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Anderson, Michelle Lynn can be contacted via phone (218) 333-5596.Contact Information
Primary practice address
1300 Anne St Nw
Bemidji MN 56601-5103
Phone: (218) 333-5596
Fax: (218) 333-5594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 7870A | Wyoming |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 107319 | Minnesota |
Profile Details
| NPI number | 1265641864 |
|---|---|
| LBN Legal business name | Anderson, Michelle Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Dec 26th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265641864 | NPPES |
| Wyoming | MEDICAID | 126145200 | |
| Wyoming | MEDICAID | 49473743 |
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