Fern, Madeleinne
Fern, Madeleinne is an individual health care provider with primary practice located at 7770 Dell Road, Suite #110 , Chanhassen MN 55317-2809. She recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Fern, Madeleinne can be contacted via phone (952) 294-3575.Contact Information
Primary practice address
7770 Dell Road, Suite #110
Chanhassen MN 55317-2809
Phone: (952) 294-3575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D15023 | Minnesota |
| Dental Providers / General Practice | 1223G0001X | D15023 | Minnesota |
Profile Details
| NPI number | 1124896816 |
|---|---|
| LBN Legal business name | Fern, Madeleinne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2023 |
| Last updated | Jun 18th, 2024 - about 2 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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