Korman, Susan Kay

Korman, Susan Kay is an individual health care provider with primary practice located at 725 Center Avenue, Suite 7 (Ccri), Moorhead MN 56560-1972. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Korman, Susan Kay can be contacted via phone (218) 236-6730.

Contact Information

Primary practice address
725 Center Avenue, Suite 7 (Ccri) Moorhead MN 56560-1972
Phone: (218) 236-6730
Fax: (218) 236-1481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8166 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3159 North Dakota

Profile Details

NPI number 1831224047
LBN Legal business name Korman, Susan Kay
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 1st, 2010 - about 14 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 1831224047 NPPES
Minnesota MEDICAID 154218400

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