Telander, Scott R
Telander, Scott R is an individual health care provider with primary practice located at 20 Lake St N Suite 101, Forest Lake MN 55025-2523. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Telander, Scott R can be contacted via phone (651) 464-4824.Contact Information
Primary practice address
20 Lake St N Suite 101
Forest Lake MN 55025-2523
Phone: (651) 464-4824
Fax: (651) 464-0003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2990 | Minnesota |
Profile Details
| NPI number | 1437254455 |
|---|---|
| LBN Legal business name | Telander, Scott R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | May 16th, 2012 - about 14 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 | 1437254455 | NPPES |
| Minnesota | MEDICAID | 807044000 |
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