Croatt Niemi, Jessica Rae

Croatt Niemi, Jessica Rae is an individual health care provider with primary practice located at 1426 Bemidji Ave N Ste 1 , Bemidji MN 56601-3882. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Croatt Niemi, Jessica Rae can be contacted via phone (218) 444-2233.

Contact Information

Primary practice address
1426 Bemidji Ave N Ste 1 Bemidji MN 56601-3882
Phone: (218) 444-2233
Fax: (218) 237-2520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15124 Minnesota

Profile Details

NPI number 1265653653
LBN Legal business name Croatt Niemi, Jessica Rae
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jun 16th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265653653 NPPES
Minnesota MEDICAID 048937900
Minnesota Other 201J8NI

Popular Providers