Hagen, Lindsey

Hagen, Lindsey is an individual health care provider with primary practice located at 510 Se 13Th St , Grand Rapids MN 55744-4233. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hagen, Lindsey can be contacted via phone (218) 327-2570.

Contact Information

Primary practice address
510 Se 13Th St Grand Rapids MN 55744-4233
Phone: (218) 327-2570
Fax: (218) 326-1036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302768 Minnesota

Profile Details

NPI number 1588995302
LBN Legal business name Hagen, Lindsey
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2010
Last updated Jan 18th, 2010 - about 14 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 1588995302 NPPES
Minnesota MEDICAID 188856100
Minnesota MEDICAID 1053500017

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