Brunsgaard, Judy Kay
Brunsgaard, Judy Kay is an individual health care provider with primary practice located at 7236 Forestview Ln N , Maple Grove MN 55369-5656. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brunsgaard, Judy Kay can be contacted via phone (763) 416-4167.Contact Information
Primary practice address
7236 Forestview Ln N
Maple Grove MN 55369-5656
Phone: (763) 416-4167
Fax: (763) 416-4137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7902-123 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19209 | Minnesota |
Profile Details
| NPI number | 1306115969 |
|---|---|
| LBN Legal business name | Brunsgaard, Judy Kay |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2011 |
| Last updated | Dec 13th, 2015 - about 9 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 | 1306115969 | NPPES |
| Minnesota | MEDICAID | 1306115969 |
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