Hegeman, Gail

Hegeman, Gail is an sole proprietor health care provider with primary practice located at 1711 County Road B West Suite 144S, Roseville MN 55113-4100. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hegeman, Gail can be contacted via phone (651) 635-0909.

Contact Information

Primary practice address
1711 County Road B West Suite 144S Roseville MN 55113-4100
Phone: (651) 635-0909
Fax: (612) 822-8669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2464 Minnesota

Profile Details

NPI number 1114910049
LBN Legal business name Hegeman, Gail
Credentials PH D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Mar 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114910049 NPPES
Other 30269000 MAGELLAN BEHAVIOR HEALTH
Other 59123AR MAGELLAN BEHAVIOR HEALTH
Other 59125HE MAGELLAN BEHAVIOR HEALTH
MEDICAID 642047800 MAGELLAN BEHAVIOR HEALTH
Other 6113193 MAGELLAN BEHAVIOR HEALTH

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