Bushman, Kimberly

Bushman, Kimberly is an individual health care provider with primary practice located at 14551 Judicial Rd Ste 100 , Burnsville MN 55306-4991. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bushman, Kimberly can be contacted via phone (952) 898-5020.

Contact Information

Primary practice address
14551 Judicial Rd Ste 100 Burnsville MN 55306-4991
Phone: (952) 898-5020
Fax: (952) 898-5858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3946 Minnesota

Profile Details

NPI number 1982783221
LBN Legal business name Bushman, Kimberly
Credentials PHD., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Apr 5th, 2018 - about 7 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 1982783221 NPPES
Minnesota Other 39Q41BU BCBS GROUP
Minnesota Other 165935-00 BCBS GROUP
Minnesota Other 39Q42BU BCBS GROUP
Minnesota Other HP24334 BCBS GROUP
Minnesota MEDICAID 386981400 BCBS GROUP
Minnesota MEDICAID 58501420 BCBS GROUP
Minnesota Other 167373 BCBS GROUP
Minnesota Other 20206-02 BCBS GROUP
Minnesota Other 61-77270 BCBS GROUP

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