Haugen, Mark L
Haugen, Mark L is an sole proprietor health care provider with primary practice located at 1526 30Th St Nw , Bemidji MN 56601-4133. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haugen, Mark L can be contacted via phone (218) 751-0887.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1398 | Minnesota |
Profile Details
| NPI number | 1528065000 |
|---|---|
| LBN Legal business name | Haugen, Mark L |
| Credentials | PH.D., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | May 29th, 2019 - about 5 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 | 1528065000 | NPPES |
| Minnesota | MEDICAID | 143550700 |
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