Kotschwar, Jeanine E.

Kotschwar, Jeanine E. is an individual health care provider with primary practice located at 2100 S Columbia Rd Suite 202, Grand Forks ND 58201-5895. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kotschwar, Jeanine E. can be contacted via phone (701) 772-1588.

Contact Information

Primary practice address
2100 S Columbia Rd Suite 202 Grand Forks ND 58201-5895
Phone: (701) 772-1588
Fax: (701) 746-6077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 177 North Dakota

Profile Details

NPI number 1083630974
LBN Legal business name Kotschwar, Jeanine E.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Sep 26th, 2017 - about 7 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 1083630974 NPPES
Minnesota Other 197M7K0 MN BLUE CROSS
Minnesota MEDICAID 366850900 MN BLUE CROSS
Minnesota Other KOT22727 MN BLUE CROSS
Minnesota MEDICAID 16917 MN BLUE CROSS

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