Giesbrecht, Penny Sue
Giesbrecht, Penny Sue is an sole proprietor health care provider with primary practice located at 521 Tanglewood Drive , Shoreview MN 55126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Giesbrecht, Penny Sue can be contacted via phone (651) 486-0122.Contact Information
Primary practice address
521 Tanglewood Drive
Shoreview MN 55126
Phone: (651) 486-0122
Fax: (651) 481-8661
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP3788 | Minnesota |
Profile Details
NPI number | 1396830758 |
---|---|
LBN Legal business name | Giesbrecht, Penny Sue |
Credentials | PSY.D., L.P. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | May 29th, 2024 - about 4 months 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 | 1396830758 | NPPES |
Minnesota | Other | 57730 | HEALTH PARTNERS |
Minnesota | Other | 50Q60GI | HEALTH PARTNERS |
Minnesota | Other | 792462 | HEALTH PARTNERS |
Minnesota | Other | 115244 | HEALTH PARTNERS |
Minnesota | MEDICAID | 925015800 | HEALTH PARTNERS |
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