Bollin, Kevin Palmer
Bollin, Kevin Palmer is an individual health care provider with primary practice located at 6900 78Th Ave N # 101 , Brooklyn Park MN 55445-2719. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bollin, Kevin Palmer can be contacted via phone (763) 432-6875.Contact Information
Primary practice address
6900 78Th Ave N # 101
Brooklyn Park MN 55445-2719
Phone: (763) 432-6875
Fax: (833) 933-0639
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP0335 | Minnesota |
Profile Details
NPI number | 1609099852 |
---|---|
LBN Legal business name | Bollin, Kevin Palmer |
Credentials | MSED LP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Nov 30th, 2020 - about 4 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 | 1609099852 | NPPES |
Minnesota | Other | 121238 | UCARE |
Minnesota | Other | 990991045425 | UCARE |
Minnesota | Other | 386G3BO | UCARE |
Minnesota | Other | 62-50723 | UCARE |
Minnesota | MEDICAID | 672053600 | UCARE |
Minnesota | Other | HP55897 | UCARE |
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