Kvidera, Christine C.

Kvidera, Christine C. is an individual health care provider with primary practice located at 7362 University Ave Ne Suite 101, Fridley MN 55432-3142. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kvidera, Christine C. can be contacted via phone (763) 503-3981.

Contact Information

Primary practice address
7362 University Ave Ne Suite 101 Fridley MN 55432-3142
Fax: (763) 503-3981
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 08679 Minnesota

Profile Details

NPI number 1568489649
LBN Legal business name Kvidera, Christine C.
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated May 13th, 2008 - about 17 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 1568489649 NPPES
Minnesota MEDICAID 876857900
Minnesota Other 8G623GR

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