Gewirtz, Abigail Hadassah
Gewirtz, Abigail Hadassah is an sole proprietor health care provider with primary practice located at 2550 University Ave West Ste 229N, St Paul MN 55114. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gewirtz, Abigail Hadassah can be contacted via phone (651) 645-3115.Contact Information
Primary practice address
2550 University Ave West Ste 229N
St Paul MN 55114
Phone: (651) 645-3115
Fax: (651) 645-2752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP4278 | Minnesota |
Profile Details
| NPI number | 1750368353 |
|---|---|
| LBN Legal business name | Gewirtz, Abigail Hadassah |
| Credentials | PHD, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Aug 13th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750368353 | NPPES |
| Minnesota | Other | 137T0GE | BCBS OF MN |
| Minnesota | MEDICAID | 438230700 | BCBS OF MN |
| Minnesota | Other | 6133092 | BCBS OF MN |
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