Fruzzetti, Sondra Decker

Fruzzetti, Sondra Decker is an individual health care provider with primary practice located at 3450 Oleary Ln , Eagan MN 55123-2340. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fruzzetti, Sondra Decker can be contacted via phone (651) 454-0114.

Contact Information

Primary practice address
3450 Oleary Ln Eagan MN 55123-2340
Phone: (651) 454-0114
Fax: (651) 454-3492
Website:
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Health care specialties

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

Profile Details

NPI number 1043302177
LBN Legal business name Fruzzetti, Sondra Decker
Credentials M.S.W., LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1043302177 NPPES
Minnesota Other 184G5FR BCBS
Minnesota Other 41-1576550 BCBS
Minnesota Other HP56870 BCBS
Minnesota Other 891464800 BCBS

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