Abbott, Geoffrey Thomas

Abbott, Geoffrey Thomas is an individual health care provider with primary practice located at 1020 W Broadway Ave Umphysicians Broadway Family Medicine, Minneapolis MN 55411-2504. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Abbott, Geoffrey Thomas can be contacted via phone (612) 302-8200.

Contact Information

Primary practice address
1020 W Broadway Ave Umphysicians Broadway Family Medicine Minneapolis MN 55411-2504
Phone: (612) 302-8200
Fax: (612) 302-8275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3977 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3977 Minnesota

Profile Details

NPI number 1952345639
LBN Legal business name Abbott, Geoffrey Thomas
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 9th, 2007 - about 17 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 1952345639 NPPES
Minnesota Other 100593 UCARE
Minnesota Other 62-55425 UCARE
Minnesota Other 1019266 UCARE
Minnesota Other 37B39AB UCARE
Minnesota Other 767983 UCARE
Minnesota Other HP27477 UCARE

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