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Contact Information

LEANN C BAIN, RDA
1789 WOODLANE DR
SUITE D
WOODBURY, MN55125-3910
 Phone: 651-738-1284
 Fax: 651-738-0072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Assistant

126800000X
Indicates primary specialty

NPI Profile & details for LEANN C BAIN · (Female)

NPI Number 1407048853
Status Active
Credentials RDA
Entity Individual
Enumeration date 08/09/2007
Last updated 08/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # A3972
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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