Tedesco, Rosamond Hannah
Tedesco, Rosamond Hannah is an individual health care provider with primary practice located at 12170 Aberdeen St Ne , Blaine MN 55449. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tedesco, Rosamond Hannah can be contacted via phone (763) 757-7000.Contact Information
Primary practice address
12170 Aberdeen St Ne
Blaine MN 55449
Phone: (763) 757-7000
Fax: (763) 757-3328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3099 | Minnesota |
Profile Details
| NPI number | 1548469737 |
|---|---|
| LBN Legal business name | Tedesco, Rosamond Hannah |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jul 23rd, 2019 - about 7 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 | 1548469737 | NPPES |
| Minnesota | Other | 410002980 | MEDICARE |
| Minnesota | MEDICAID | 535482200 | MEDICARE |
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