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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
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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