Gilligan, Ann P
Gilligan, Ann P is an individual health care provider with primary practice located at 3548 Bryant Ave S , Minneapolis MN 55408-4119. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gilligan, Ann P can be contacted via phone (612) 822-8227.Contact Information
Primary practice address
3548 Bryant Ave S
Minneapolis MN 55408-4119
Phone: (612) 822-8227
Fax: (612) 825-4204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12884 | Minnesota |
Profile Details
| NPI number | 1902807886 |
|---|---|
| LBN Legal business name | Gilligan, Ann P |
| Credentials | MA, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1902807886 | NPPES |
| Minnesota | MEDICAID | 106658700 |
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