Hitzelberger, Michael

Hitzelberger, Michael is an individual health care provider with primary practice located at 425 Coon Rapids Blvd #200 Nscc, Coon Rapids MN 58433. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Hitzelberger, Michael can be contacted via phone (763) 784-3008.

Contact Information

Primary practice address
425 Coon Rapids Blvd #200 Nscc Coon Rapids MN 58433
Phone: (763) 784-3008
Fax: (763) 784-3647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3538 Minnesota

Profile Details

NPI number 1710053301
LBN Legal business name Hitzelberger, Michael
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jan 5th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710053301 NPPES
Minnesota MEDICAID 437709500

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