Goolsbee, Gary

Goolsbee, Gary is an individual health care provider with primary practice located at 121 11Th Ave Se , Forest Lake MN 55025-1850. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goolsbee, Gary can be contacted via phone (651) 251-5220.

Contact Information

Primary practice address
121 11Th Ave Se Forest Lake MN 55025-1850
Phone: (651) 251-5220
Fax: (651) 251-5279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00593 Minnesota

Profile Details

NPI number 1619990793
LBN Legal business name Goolsbee, Gary
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 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 1619990793 NPPES
Minnesota Other 17581 HP
Minnesota Other 5H799GO HP
Minnesota Other 105133 HP
Minnesota Other 62-15995 HP
Minnesota Other 1004398 HP

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