Brodersen, Tara Vonne
Brodersen, Tara Vonne is an sole proprietor health care provider with primary practice located at 200 University Ave E , Saint Paul MN 55101-2507. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Brodersen, Tara Vonne can be contacted via phone (651) 291-2848.Contact Information
Primary practice address
200 University Ave E
Saint Paul MN 55101-2507
Phone: (651) 291-2848
Fax: (651) 602-6885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11913 | Minnesota |
Profile Details
| NPI number | 1336138882 |
|---|---|
| LBN Legal business name | Brodersen, Tara Vonne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Mar 8th, 2019 - about 7 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 | 1336138882 | NPPES |
| Minnesota | Other | H400538336 | MEDICARE UPIN |
Popular Providers
-
Jeske, Duane Paul
555 Wabasha St N , Saint Paul MN 55102-1600 -
Sass, David V
2059 Robert St S , Saint Paul MN 55118-3924 -
Sheehan, Gregory Michael
1215 Rice St , Saint Paul MN 55117-4538 -
Steen, Franklin James
2442 Mounds View Blvd , Saint Paul MN 55112-1478 -
Houston, Mark W.
2193 Silver Lake Rd Nw , Saint Paul MN 55112-5331 -
Haman, Julie C
1514 White Bear Ave N , Saint Paul MN 55106-1624 -
Rozinka, Jeffrey J
375 Jackson St Suite 200, Saint Paul MN 55101-1810 -
Schafhauser, Michael William
30 7Th St E Suite 101, Saint Paul MN 55101-4914