Mactaggert, Patricia J.
Mactaggert, Patricia J. is an sole proprietor health care provider with primary practice located at 804 Lake St E Suite 204, Wayzata MN 55391-1980. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mactaggert, Patricia J. can be contacted via phone (612) 803-2533.Contact Information
Primary practice address
804 Lake St E Suite 204
Wayzata MN 55391-1980
Phone: (612) 803-2533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2278 | Minnesota |
Profile Details
| NPI number | 1710016043 |
|---|---|
| LBN Legal business name | Mactaggert, Patricia J. |
| Credentials | M.A.,L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2007 |
| Last updated | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710016043 | NPPES |
| Minnesota | Other | 68413ST | BLUECROSSBLUESHIELD PROVI |
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