Bajema, Heather Lanae
Bajema, Heather Lanae is an individual health care provider with primary practice located at 1024 7Th Ave , Worthington MN 56187-2287. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bajema, Heather Lanae can be contacted via phone (507) 376-4141.Contact Information
Primary practice address
1024 7Th Ave
Worthington MN 56187-2287
Phone: (507) 376-4141
Fax: (507) 376-4494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP4893 | Minnesota |
Profile Details
| NPI number | 1922276195 |
|---|---|
| LBN Legal business name | Bajema, Heather Lanae |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2008 |
| Last updated | May 9th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922276195 | NPPES |
| Minnesota | MEDICAID | 360608000 |
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