Frye, Victoria

Frye, Victoria is an individual health care provider with primary practice located at 900 Long Lake Rd Ste 160 , New Brighton MN 55112-6414. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Frye, Victoria can be contacted via phone (612) 706-9630.

Contact Information

Primary practice address
900 Long Lake Rd Ste 160 New Brighton MN 55112-6414
Phone: (612) 706-9630
Fax: (612) 706-9617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 408 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X Minnesota

Profile Details

NPI number 1063734663
LBN Legal business name Frye, Victoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2010
Last updated Apr 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063734663 NPPES
Minnesota MEDICAID 1063734663

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