Lindberg, Kelly Cameron
Lindberg, Kelly Cameron is an individual health care provider with primary practice located at 407 Washington St , Monticello MN 55362-8815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lindberg, Kelly Cameron can be contacted via phone (763) 295-4001.Contact Information
Primary practice address
407 Washington St
Monticello MN 55362-8815
Phone: (763) 295-4001
Fax: (763) 295-5086
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302082 | Minnesota |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1306014162 |
---|---|
LBN Legal business name | Lindberg, Kelly Cameron |
Credentials | LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2008 |
Last updated | Oct 30th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306014162 | NPPES |
Minnesota | Other | 302082 | LADC |
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