Bengtson, Charline
Bengtson, Charline is an sole proprietor health care provider with primary practice located at 105 2Nd Ave Ne Ste 110 , Glenwood MN 56334-1226. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bengtson, Charline can be contacted via phone (320) 428-0744.Contact Information
Primary practice address
105 2Nd Ave Ne Ste 110
Glenwood MN 56334-1226
Phone: (320) 428-0744
Fax: (320) 438-2829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 11524 | South Dakota |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 3047 | Minnesota |
Profile Details
| NPI number | 1487032926 |
|---|---|
| LBN Legal business name | Bengtson, Charline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2015 |
| Last updated | Apr 19th, 2021 - about 5 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 | 1487032926 | NPPES |
| Minnesota | MEDICAID | 1487032926 |
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