Komarek-Pavkovich, Jane Pauline

Komarek-Pavkovich, Jane Pauline is an individual health care provider with primary practice located at 1406 6Th Avenue North St Cloud Hospital, St Cloud MN 56303-1901. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Komarek-Pavkovich, Jane Pauline can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1406 6Th Avenue North St Cloud Hospital St Cloud MN 56303-1901
Phone: (320) 251-2700
Fax: (320) 229-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301224 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12130 Minnesota

Profile Details

NPI number 1326097171
LBN Legal business name Komarek-Pavkovich, Jane Pauline
Credentials LICSW LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
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 1326097171 NPPES
Minnesota MEDICAID 510037200

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