Bader, Wyatt
Bader, Wyatt is an individual health care provider with primary practice located at 4202 Pheasant Ridge Dr Ne , Blaine MN 55449-4529. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bader, Wyatt can be contacted via phone (651) 255-1498.Contact Information
Primary practice address
4202 Pheasant Ridge Dr Ne
Blaine MN 55449-4529
Phone: (651) 255-1498
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 125679 | Minnesota |
Profile Details
| NPI number | 1043948607 |
|---|---|
| LBN Legal business name | Bader, Wyatt |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2022 |
| Last updated | Aug 11th, 2022 - about 4 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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