Ammerman, Geoffrey Clyde
Ammerman, Geoffrey Clyde is an sole proprietor health care provider with primary practice located at 927 Trettel Ln , Cloquet MN 55720-1345. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ammerman, Geoffrey Clyde can be contacted via phone (218) 879-1227.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP1904 | Minnesota |
Profile Details
| NPI number | 1356373328 |
|---|---|
| LBN Legal business name | Ammerman, Geoffrey Clyde |
| Credentials | MS.ED., LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Apr 18th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356373328 | NPPES |
| Minnesota | MEDICAID | 870748100 |
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