Harkins-Craven, Jo Anne
Harkins-Craven, Jo Anne is an individual health care provider with primary practice located at 1310 Highway 96 E Suite 104C, White Bear Lake MN 55110-3624. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Harkins-Craven, Jo Anne can be contacted via phone (612) 203-8654.Contact Information
Primary practice address
1310 Highway 96 E Suite 104C
White Bear Lake MN 55110-3624
Phone: (612) 203-8654
Fax: (651) 762-3780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2119 | Minnesota |
Profile Details
| NPI number | 1104824234 |
|---|---|
| LBN Legal business name | Harkins-Craven, Jo Anne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 6th, 2024 - about last year |
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 | 1104824234 | NPPES |
| Minnesota | Other | 41M25HA | BLUECROSS&BLUESHIELD ID |
| Minnesota | Other | HP26603 | BLUECROSS&BLUESHIELD ID |
| Minnesota | Other | 1101299 | BLUECROSS&BLUESHIELD ID |
| Minnesota | Other | 101771 | BLUECROSS&BLUESHIELD ID |
| Minnesota | Other | 20244 | BLUECROSS&BLUESHIELD ID |
| Minnesota | Other | 61-71156 | BLUECROSS&BLUESHIELD ID |
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