Hoogheem, Lisa N

Hoogheem, Lisa N is an individual health care provider with primary practice located at 219 Robie St E , Saint Paul MN 55107-2325. 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. Hoogheem, Lisa N can be contacted via phone (612) 275-6982.

Contact Information

Primary practice address
219 Robie St E Saint Paul MN 55107-2325
Phone: (612) 275-6982
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302133 Minnesota

Profile Details

NPI number 1134314982
LBN Legal business name Hoogheem, Lisa N
Credentials MA, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2007
Last updated Sep 13th, 2007 - about 17 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 1134314982 NPPES
Minnesota Other 302133 STATE LICENSE NUMBER

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