Brown, Heidi Jo

Brown, Heidi Jo is an individual health care provider with primary practice located at 120 Main Ave N , Park Rapids MN 56470-1810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brown, Heidi Jo can be contacted via phone (218) 732-7266.

Contact Information

Primary practice address
120 Main Ave N Park Rapids MN 56470-1810
Phone: (218) 732-7266
Fax: (218) 732-0136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 09250 Minnesota

Profile Details

NPI number 1750481883
LBN Legal business name Brown, Heidi Jo
Credentials MS, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750481883 NPPES
Minnesota MEDICAID 02282650

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