Rogers-Tanner, Carol
Rogers-Tanner, Carol is an sole proprietor health care provider with primary practice located at 2399 Ariel St N Ste D , Maplewood MN 55109-2202. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rogers-Tanner, Carol can be contacted via phone (651) 770-1311.Contact Information
Primary practice address
2399 Ariel St N Ste D
Maplewood MN 55109-2202
Phone: (651) 770-1311
Fax: (651) 770-1879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2901 | Minnesota |
Profile Details
| NPI number | 1194775841 |
|---|---|
| LBN Legal business name | Rogers-Tanner, Carol |
| Credentials | MS LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Jun 24th, 2015 - about 11 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 | 1194775841 | NPPES |
| Minnesota | MEDICAID | 857051500 |
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