Hammargren, Mary
Hammargren, Mary is an sole proprietor health care provider with primary practice located at 625 Broadway St Ste 105 , Alexandria MN 56308-1664. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hammargren, Mary can be contacted via phone (320) 763-4100.Contact Information
Primary practice address
625 Broadway St Ste 105
Alexandria MN 56308-1664
Phone: (320) 763-4100
Fax: (320) 763-4100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP 1331 | Minnesota |
Profile Details
| NPI number | 1477628477 |
|---|---|
| LBN Legal business name | Hammargren, Mary |
| Credentials | MA, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477628477 | NPPES |
| Other | 15Q68HA | BCBS OF MN | |
| MEDICAID | 1100530 | BCBS OF MN |
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