Affeldt, William J

Affeldt, William J is an individual health care provider with primary practice located at 1001 Hart Blvd Ste 100 , Monticello MN 55362-8929. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Affeldt, William J can be contacted via phone (763) 295-2921.

Contact Information

Primary practice address
1001 Hart Blvd Ste 100 Monticello MN 55362-8929
Phone: (763) 295-2921
Fax: (763) 581-9090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4248 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 4248 Minnesota

Profile Details

NPI number 1013950203
LBN Legal business name Affeldt, William J
Credentials MSSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 12th, 2022 - about 2 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 1013950203 NPPES
Other 110573C851 UCARE
Other 6248959 UCARE
MEDICAID 970757300 UCARE
Other HP27808 UCARE
Other 922241007835 UCARE

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