King-Hage, Tomasena Ann

King-Hage, Tomasena Ann is an individual health care provider with primary practice located at 4140 Richard Ave Ste 200 , Hermantown MN 55811-3309. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. King-Hage, Tomasena Ann can be contacted via phone (218) 514-5230.

Contact Information

Primary practice address
4140 Richard Ave Ste 200 Hermantown MN 55811-3309
Phone: (218) 514-5230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Minnesota

Profile Details

NPI number 1083376776
LBN Legal business name King-Hage, Tomasena Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2021
Last updated Oct 10th, 2021 - about 3 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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