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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134314982 | NPPES |
| Minnesota | Other | 302133 | STATE LICENSE NUMBER |
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