Hoisington, Susan Marie

Hoisington, Susan Marie is an individual health care provider with primary practice located at 2120 Park Ave , Minneapolis MN 55404-3378. 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. Hoisington, Susan Marie can be contacted via phone (612) 872-2000.

Contact Information

Primary practice address
2120 Park Ave Minneapolis MN 55404-3378
Phone: (612) 872-2000
Fax: (612) 871-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X LP0881 Minnesota

Profile Details

NPI number 1104974674
LBN Legal business name Hoisington, Susan Marie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated May 7th, 2018 - about 6 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 1104974674 NPPES
Minnesota MEDICAID 1104974674

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