Chmielewski, Charles J

Chmielewski, Charles J is an individual health care provider with primary practice located at 1526 30Th St Nw , Bemidji MN 56601-4133. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chmielewski, Charles J can be contacted via phone (218) 751-0887.

Contact Information

Primary practice address
1526 30Th St Nw Bemidji MN 56601-4133
Phone: (218) 751-0887
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1921 Minnesota

Profile Details

NPI number 1245236819
LBN Legal business name Chmielewski, Charles J
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Sep 13th, 2010 - about 14 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 1245236819 NPPES
Minnesota MEDICAID 373748900

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