Hoistad, Andrew Clark
Hoistad, Andrew Clark is an individual health care provider with primary practice located at 1245 Gun Club Rd , White Bear Lake MN 55110-3379. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Hoistad, Andrew Clark can be contacted via phone (612) 644-4887.Contact Information
Primary practice address
1245 Gun Club Rd
White Bear Lake MN 55110-3379
Phone: (612) 644-4887
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1114799301 |
---|---|
LBN Legal business name | Hoistad, Andrew Clark |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2023 |
Last updated | Oct 23rd, 2023 - about 2 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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