Mongare, Gertrude
Mongare, Gertrude is an individual health care provider with primary practice located at 5701 Kentucky Ave N Ste 100 , Crystal MN 55428-3370. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mongare, Gertrude can be contacted via phone (763) 228-8086.Contact Information
Primary practice address
5701 Kentucky Ave N Ste 100
Crystal MN 55428-3370
Phone: (763) 228-8086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1831708098 |
|---|---|
| LBN Legal business name | Mongare, Gertrude |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jul 23rd, 2020 - about 4 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 | 1831708098 | NPPES |
| Other | BIRTHDATE | 01131992 |
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