Kirchman, Jim Harold

Kirchman, Jim Harold is an individual health care provider with primary practice located at 2480 S County Road 45 , Owatonna MN 55060-5113. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kirchman, Jim Harold can be contacted via phone (612) 454-2130.

Contact Information

Primary practice address
2480 S County Road 45 Owatonna MN 55060-5113
Phone: (612) 454-2130
Fax: (507) 451-2705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302919 Minnesota

Profile Details

NPI number 1548770522
LBN Legal business name Kirchman, Jim Harold
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2017
Last updated Oct 4th, 2017 - about 8 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 1548770522 NPPES
Minnesota Other C543034150512 DRIVER'S LICENSE

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