Endres, J Scott

Endres, J Scott is an individual health care provider with primary practice located at 5730 Bottineau Blvd. , Crystal MN 55429-3181. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Endres, J Scott can be contacted via phone (763) 537-3213.

Contact Information

Primary practice address
5730 Bottineau Blvd. Crystal MN 55429-3181
Phone: (763) 537-3213
Fax: (763) 537-6732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2303 Minnesota

Profile Details

NPI number 1205830254
LBN Legal business name Endres, J Scott
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated May 22nd, 2023 - about 3 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 1205830254 NPPES
Minnesota Other 22-01181 MEDICA PRIMARY
Minnesota Other 410049467 MEDICA PRIMARY
Minnesota Other HP17523 MEDICA PRIMARY
Minnesota Other 130870 MEDICA PRIMARY
Minnesota Other 22-01009 MEDICA PRIMARY
Minnesota Other 410001614 MEDICA PRIMARY
Minnesota Other 22-01009 MEDICA PRIMARY
Minnesota Other 23706 MEDICA PRIMARY
Minnesota Other 22-01178 MEDICA PRIMARY
Minnesota Other 4C413EN MEDICA PRIMARY
Minnesota Other 109241 MEDICA PRIMARY
Minnesota Other 22-01178 MEDICA PRIMARY
Minnesota MEDICAID 320725100 MEDICA PRIMARY
Minnesota Other 935300695003 MEDICA PRIMARY
Minnesota Other 644S7EN MEDICA PRIMARY
Minnesota Other 964110695003 MEDICA PRIMARY

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