Healthcare Provider Details

I. General information

NPI: 1578930426
Provider Name (Legal Business Name): LADNAAN PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2015
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 INTERNATIONAL DR #300
BLOOMINGTON MN
55425-1510
US

IV. Provider business mailing address

7900 INTERNATIONAL DR #300
BLOOMINGTON MN
55425-1510
US

V. Phone/Fax

Practice location:
  • Phone: 507-319-0933
  • Fax:
Mailing address:
  • Phone: 507-319-0933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateMN

VIII. Authorized Official

Name: MR. ISAAK O ROOBLE
Title or Position: DIRECTOR
Credential:
Phone: 507-319-0933