Anderson, Paul Richard

Anderson, Paul Richard is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Anderson, Paul Richard can be contacted via phone (218) 786-4150.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Phone: (218) 786-4150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25596 Minnesota

Profile Details

NPI number 1487717047
LBN Legal business name Anderson, Paul Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jun 24th, 2011 - about 14 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 1487717047 NPPES
Minnesota MEDICAID 165500100

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