Luitjens, Catherine Jane

Luitjens, Catherine Jane is an individual health care provider with primary practice located at 11660 Round Lake Blvd Nw , Coon Rapids MN 55433. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Luitjens, Catherine Jane can be contacted via phone (763) 767-3350.

Contact Information

Primary practice address
11660 Round Lake Blvd Nw Coon Rapids MN 55433
Phone: (763) 767-3350
Fax: (763) 767-0912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3794 Minnesota

Profile Details

NPI number 1093777591
LBN Legal business name Luitjens, Catherine Jane
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated May 7th, 2019 - about 6 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 1093777591 NPPES
Minnesota MEDICAID 789522400
Minnesota Other 44455LU

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