Beenken, Martha
Beenken, Martha is an sole proprietor health care provider with primary practice located at 4655 Nicols Rd Suite 206, Eagan MN 55122-2395. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beenken, Martha can be contacted via phone (612) 597-5986.Contact Information
Primary practice address
4655 Nicols Rd Suite 206
Eagan MN 55122-2395
Phone: (612) 597-5986
Fax: (651) 405-0358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14040 LICSW | Minnesota |
Profile Details
| NPI number | 1659457596 |
|---|---|
| LBN Legal business name | Beenken, Martha |
| Credentials | MSW., LICSW. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1659457596 | NPPES |
| Minnesota | Other | HP66834 | FAM.COUNSEL, MH, BEHAVIOR |
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