Churchill, Nathaniel Adam

Churchill, Nathaniel Adam is an individual health care provider with primary practice located at 13603 80Th Cir N , Maple Grove MN 55369-8961. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Churchill, Nathaniel Adam can be contacted via phone (763) 274-3120.

Contact Information

Primary practice address
13603 80Th Cir N Maple Grove MN 55369-8961
Phone: (763) 274-3120
Fax: (763) 274-3121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X CC01732 Minnesota

Profile Details

NPI number 1881137693
LBN Legal business name Churchill, Nathaniel Adam
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2016
Last updated Feb 16th, 2018 - about 6 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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