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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437254455 NPPES
Minnesota MEDICAID 807044000

Popular Providers