Sundell, Bridget Ann

Sundell, Bridget Ann is an individual health care provider with primary practice located at 602 N 6Th Ave W , Virginia MN 55792-5579. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Sundell, Bridget Ann can be contacted via phone (218) 741-4111.

Contact Information

Primary practice address
602 N 6Th Ave W Virginia MN 55792-5579
Fax: (218) 741-8966
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 44402 Minnesota

Profile Details

NPI number 1871691295
LBN Legal business name Sundell, Bridget Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 15th, 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 1871691295 NPPES
Minnesota Other 44402 STATE MEDICAL LICENSE NUM
Minnesota MEDICAID 033709900 STATE MEDICAL LICENSE NUM

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