Waldon, Robert S

Waldon, Robert S is an individual health care provider with primary practice located at 800 E 28Th St , Minneapolis MN 55407-3723. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Waldon, Robert S can be contacted via phone (612) 863-4000.

Contact Information

Primary practice address
800 E 28Th St Minneapolis MN 55407-3723
Phone: (612) 863-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 632 Minnesota

Profile Details

NPI number 1912909417
LBN Legal business name Waldon, Robert S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 23rd, 2018 - about 8 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 1912909417 NPPES
Minnesota Other 375R2WA BCBSMN
Minnesota MEDICAID 217288700 BCBSMN

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