Hansen, Heidi Ann
Hansen, Heidi Ann is an sole proprietor health care provider with primary practice located at 505 S 12Th Ave W Ste 1 , Virginia MN 55792-2001. 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. Hansen, Heidi Ann can be contacted via phone (218) 749-2877.Contact Information
Primary practice address
505 S 12Th Ave W Ste 1
Virginia MN 55792-2001
Phone: (218) 749-2877
Fax: (218) 749-6033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303986 | Minnesota |
Profile Details
| NPI number | 1023523230 |
|---|---|
| LBN Legal business name | Hansen, Heidi Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2017 |
| Last updated | Dec 11th, 2017 - about 7 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 | 1023523230 | NPPES |
| Minnesota | MEDICAID | 1619984028 |
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