Dodge, Laura J Tripet

Dodge, Laura J Tripet is an sole proprietor health care provider with primary practice located at 4601 Excelsior Blvd Suite 501A, St Louis Park MN 55416. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dodge, Laura J Tripet can be contacted via phone (952) 933-3121.

Contact Information

Primary practice address
4601 Excelsior Blvd Suite 501A St Louis Park MN 55416
Phone: (952) 933-3121
Fax: (952) 933-3511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1396 Minnesota

Profile Details

NPI number 1881739241
LBN Legal business name Dodge, Laura J Tripet
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 27th, 2015 - about 9 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 1881739241 NPPES
Minnesota Other 079N9TR BCBS
Minnesota MEDICAID 975348600 BCBS

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