Moideen, Yasmine

Moideen, Yasmine is an sole proprietor health care provider with primary practice located at 1030 County Road E W Suite 230, Shoreview MN 55126-8152. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moideen, Yasmine can be contacted via phone (651) 484-0000.

Contact Information

Primary practice address
1030 County Road E W Suite 230 Shoreview MN 55126-8152
Phone: (651) 484-0000
Fax: (651) 484-1050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 3742 Minnesota

Profile Details

NPI number 1093735490
LBN Legal business name Moideen, Yasmine
Credentials PHD, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jul 28th, 2015 - about 10 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 1093735490 NPPES
Minnesota Other 190G8MO BCBS
Minnesota MEDICAID 659677100 BCBS
Minnesota Other 61-50789 BCBS

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