Gillett, Neal Allen
Gillett, Neal Allen is an sole proprietor health care provider with primary practice located at 10520 Wayzata Blvd , Hopkins MN 55305-1511. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gillett, Neal Allen can be contacted via phone (612) 220-1151.Contact Information
Primary practice address
10520 Wayzata Blvd
Hopkins MN 55305-1511
Phone: (612) 220-1151
Fax: (952) 681-2568
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2348 | Minnesota |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8058 | Minnesota |
Profile Details
NPI number | 1801964382 |
---|---|
LBN Legal business name | Gillett, Neal Allen |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 2006 |
Last updated | Dec 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801964382 | NPPES |
Minnesota | Other | 4H5581GI 4H557GI LP | BLUE CROSS BLUE SHIELD |
Minnesota | Other | 673552500 | BLUE CROSS BLUE SHIELD |
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