Gish, Jennifer Mary

Gish, Jennifer Mary is an individual health care provider with primary practice located at 10560 Wayzata Blvd , Minnetonka MN 55305-1524. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gish, Jennifer Mary can be contacted via phone (952) 595-0562.

Contact Information

Primary practice address
10560 Wayzata Blvd Minnetonka MN 55305-1524
Phone: (952) 595-0562
Fax: (952) 595-0564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1866 Minnesota

Profile Details

NPI number 1922054949
LBN Legal business name Gish, Jennifer Mary
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1922054949 NPPES
Minnesota Other 127674 BEHAVIORAL HEALTH CARE PR
Minnesota Other HP30670 BEHAVIORAL HEALTH CARE PR
Minnesota Other 167437 BEHAVIORAL HEALTH CARE PR
Minnesota Other 6262800 BEHAVIORAL HEALTH CARE PR
Minnesota Other 25G83GI BEHAVIORAL HEALTH CARE PR

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