Sundberg, Leif Per-Alden

Sundberg, Leif Per-Alden is an sole proprietor health care provider with primary practice located at 4786 Banning Ave , White Bear Lake MN 55110-3264. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sundberg, Leif Per-Alden can be contacted via phone (651) 426-6402.

Contact Information

Primary practice address
4786 Banning Ave White Bear Lake MN 55110-3264
Phone: (651) 426-6402
Fax: (651) 429-3402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13719 Minnesota

Profile Details

NPI number 1013592708
LBN Legal business name Sundberg, Leif Per-Alden
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2021
Last updated Jul 12th, 2021 - about 5 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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