Bolstad, Gretta

Bolstad, Gretta is an individual health care provider with primary practice located at 4201 Dean Lakes Blvd , Shakopee MN 55379-2829. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Bolstad, Gretta can be contacted via phone (612) 416-1301.

Contact Information

Primary practice address
4201 Dean Lakes Blvd Shakopee MN 55379-2829
Phone: (612) 416-1301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1982333118
LBN Legal business name Bolstad, Gretta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2022
Last updated Jun 20th, 2022 - about 3 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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