Buskirk, Marlene Grace

Buskirk, Marlene Grace is an sole proprietor health care provider with primary practice located at 615 1St Ave Ne Suite 310, Minneapolis MN 55413-2447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Buskirk, Marlene Grace can be contacted via phone (612) 436-0295.

Contact Information

Primary practice address
615 1St Ave Ne Suite 310 Minneapolis MN 55413-2447
Phone: (612) 436-0295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R 043034-0 Minnesota

Profile Details

NPI number 1588780068
LBN Legal business name Buskirk, Marlene Grace
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1588780068 NPPES
Minnesota Other 62-56672 UNITED BEHAVIORAL HEALTH

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