Modahl, Collin Ross
Modahl, Collin Ross is an sole proprietor health care provider with primary practice located at 324 Broadway St Ste 206 , Alexandria MN 56308-1482. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Modahl, Collin Ross can be contacted via phone (320) 762-1762.Contact Information
Primary practice address
324 Broadway St Ste 206
Alexandria MN 56308-1482
Phone: (320) 762-1762
Fax: (320) 762-1762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP6478 | Minnesota |
Profile Details
| NPI number | 1184260812 |
|---|---|
| LBN Legal business name | Modahl, Collin Ross |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2019 |
| Last updated | Nov 18th, 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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