Greseth Kirchner, Jean Irene

Greseth Kirchner, Jean Irene is an individual health care provider with primary practice located at 515 Bridge Street East , Park Rapids MN 56470-1810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Greseth Kirchner, Jean Irene can be contacted via phone (218) 366-9229.

Contact Information

Primary practice address
515 Bridge Street East Park Rapids MN 56470-1810
Phone: (218) 366-9229
Fax: (218) 237-2520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 03855 Minnesota

Profile Details

NPI number 1679587992
LBN Legal business name Greseth Kirchner, Jean Irene
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated May 10th, 2010 - about 15 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 1679587992 NPPES
Minnesota MEDICAID 7528574-00

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