Grunzke-Lynner, Nicole Paige
Grunzke-Lynner, Nicole Paige is an sole proprietor health care provider with primary practice located at 2388 University Ave W #207, Saint Paul MN 55114-1769. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grunzke-Lynner, Nicole Paige can be contacted via phone (952) 210-1360.Contact Information
Primary practice address
2388 University Ave W #207
Saint Paul MN 55114-1769
Phone: (952) 210-1360
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4347 | Minnesota |
Profile Details
NPI number | 1437106770 |
---|---|
LBN Legal business name | Grunzke-Lynner, Nicole Paige |
Credentials | PSY.D., L.P. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 30th, 2006 |
Last updated | Jan 9th, 2013 - about 12 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 | 1437106770 | NPPES |
Minnesota | Other | 557344100 | MEDICAL ASSISTANCE |
Minnesota | Other | 156M3GR | MEDICAL ASSISTANCE |
Minnesota | Other | 6142042 | MEDICAL ASSISTANCE |
Minnesota | Other | 61-42042 | MEDICAL ASSISTANCE |
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