Gendron, Thomas Joseph
Gendron, Thomas Joseph is an sole proprietor health care provider with primary practice located at 775 Prairie Center Dr Suite 250, Eden Prairie MN 55344-7314. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Gendron, Thomas Joseph can be contacted via phone (952) 944-2519.Contact Information
Primary practice address
775 Prairie Center Dr Suite 250
Eden Prairie MN 55344-7314
Phone: (952) 944-2519
Fax: (952) 944-0460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 1110737 | Minnesota |
Profile Details
| NPI number | 1659488625 |
|---|---|
| LBN Legal business name | Gendron, Thomas Joseph |
| Credentials | CNOR, OPA-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | May 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659488625 | NPPES |
| Other | HP49823 | HEALTHPARTNERS | |
| Other | 55A73GE | HEALTHPARTNERS | |
| Other | 969991001287 | HEALTHPARTNERS |
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