Chavis, Geraldine
Chavis, Geraldine is an sole proprietor health care provider with primary practice located at 4005 W 65Th St Suite 108, Edina MN 55435-1720. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Chavis, Geraldine can be contacted via phone (952) 922-9090.Contact Information
Primary practice address
4005 W 65Th St Suite 108
Edina MN 55435-1720
Phone: (952) 922-9090
Fax: (952) 929-0022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3463 | Minnesota |
Profile Details
| NPI number | 1164570396 |
|---|---|
| LBN Legal business name | Chavis, Geraldine |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164570396 | NPPES |
| Minnesota | Other | 8B827CH | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 01011769 | BLUE CROSS BLUE SHIELD |
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