Keifenheim, Gary Paul

Keifenheim, Gary Paul is an sole proprietor health care provider with primary practice located at 6900 78Th Ave N , Brooklyn Park MN 55445-2719. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Keifenheim, Gary Paul can be contacted via phone (763) 560-4412.

Contact Information

Primary practice address
6900 78Th Ave N Brooklyn Park MN 55445-2719
Phone: (763) 560-4412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LICSW06601 Minnesota

Profile Details

NPI number 1205903705
LBN Legal business name Keifenheim, Gary Paul
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 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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