Christenson, Tamara B
Christenson, Tamara B is an sole proprietor health care provider with primary practice located at 324 Broadway St Ste 206 , Alexandria MN 56308-1482. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Christenson, Tamara B can be contacted via phone (320) 762-1762.Contact Information
Primary practice address
324 Broadway St Ste 206
Alexandria MN 56308-1482
Phone: (320) 762-1762
Fax: (320) 762-0796
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13897 | Minnesota |
Profile Details
NPI number | 1134348949 |
---|---|
LBN Legal business name | Christenson, Tamara B |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 24th, 2007 |
Last updated | Apr 5th, 2012 - about 13 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 | 1134348949 | NPPES |
Minnesota | Other | 524G3CH | BCBSMN |
Minnesota | Other | 31002005 | BCBSMN |
Minnesota | MEDICAID | 652620900 | BCBSMN |
Minnesota | Other | 56308-A003 | BCBSMN |
Minnesota | Other | 138661 | BCBSMN |
Minnesota | Other | 990991049165 | BCBSMN |
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