Emersen Anderson

Individual provider Active NPI Specialist · Alexandria, MN

NPI 1083376818 · NPPES record last updated Oct 8, 2021

Key facts

NPI
1083376818
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
1910 Aga Dr
Alexandria, MN 56308-1796
Phone
(320) 762-5411
Fax
(218) 287-5928
NPI assigned
Oct 8, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Behavioral Healthcare Professionals, PC Current
since Oct 10, 2021
Accepting new patients

Locations

1547 30th Ave S
Moorhead, MN 56560
Phone 21828743381113

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Yes

Addresses

Primary practice location

1910 Aga Dr
Alexandria, MN 56308-1796

Mailing address

1547 30TH Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338

Other providers in Alexandria, MN

All providers in Alexandria, MN · Specialist in Minnesota

Sources for this page

Verify at the official NPI Registry.