Provider Demographics
NPI:1356841019
Name:WOOD CREST BUILDING & REMODELING INC.
Entity type:Organization
Organization Name:WOOD CREST BUILDING & REMODELING INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUILDING CONTRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:651-246-9457
Mailing Address - Street 1:24140 PRIMROSE LN N
Mailing Address - Street 2:
Mailing Address - City:SCANDIA
Mailing Address - State:MN
Mailing Address - Zip Code:55073-9681
Mailing Address - Country:US
Mailing Address - Phone:651-433-3779
Mailing Address - Fax:651-433-3771
Practice Address - Street 1:24140 PRIMROSE LN N
Practice Address - Street 2:
Practice Address - City:SCANDIA
Practice Address - State:MN
Practice Address - Zip Code:55073-9681
Practice Address - Country:US
Practice Address - Phone:651-433-3779
Practice Address - Fax:651-433-3771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNBC628706171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNBC628706OtherMINNESOTA CONTRACTORS LICENSE NUMBER