Kaster, Jessica Theresa

Kaster, Jessica Theresa is an individual health care provider with primary practice located at 6750 France Ave S #340, Edina MN 55435-1903. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kaster, Jessica Theresa can be contacted via phone (952) 303-4372.

Contact Information

Primary practice address
6750 France Ave S #340 Edina MN 55435-1903
Fax: (952) 303-4753
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP4665 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4665 Minnesota

Profile Details

NPI number 1336196237
LBN Legal business name Kaster, Jessica Theresa
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Apr 1st, 2013 - about 12 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 1336196237 NPPES
Minnesota MEDICAID 556874900
Minnesota Other 1046556
Minnesota Other 113308
Minnesota Other 26738
Minnesota Other HP60844
Minnesota Other 89G98KA

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