Gronneberg, Paul

Gronneberg, Paul is an individual health care provider with primary practice located at 730 S Front St , Mankato MN 56001-3803. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gronneberg, Paul can be contacted via phone (507) 387-3777.

Contact Information

Primary practice address
730 S Front St Mankato MN 56001-3803
Phone: (507) 387-3777
Fax: (507) 344-1726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0728 Minnesota

Profile Details

NPI number 1639178049
LBN Legal business name Gronneberg, Paul
Credentials M.A., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639178049 NPPES
Minnesota Other 115278 UCARE
Minnesota Other 6162711 UCARE
Minnesota Other 33P34GR UCARE

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