Dunn, Mary J

Dunn, Mary J is an individual health care provider with primary practice located at 1885 University Ave W Suite 246, Saint Paul MN 55104-3489. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dunn, Mary J can be contacted via phone (612) 326-7571.

Contact Information

Primary practice address
1885 University Ave W Suite 246 Saint Paul MN 55104-3489
Phone: (612) 326-7571
Fax: (651) 647-9147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301125 Minnesota

Profile Details

NPI number 1023261070
LBN Legal business name Dunn, Mary J
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Apr 14th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023261070 NPPES
Minnesota Other 57422KU BLUE CROSS/BLUE SHIELD

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