Onyeneho, Kate

Onyeneho, Kate is an sole proprietor health care provider with primary practice located at 6000 Bass Lake Rd Ste 206 , Crystal MN 55429-2766. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respite Care Facility / Respite Care. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Onyeneho, Kate can be contacted via phone (952) 356-2953.

Contact Information

Primary practice address
6000 Bass Lake Rd Ste 206 Crystal MN 55429-2766
Phone: (952) 356-2953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 24436 Minnesota
Respite Care Facility / Respite Care 385H00000X 365664 Minnesota

Profile Details

NPI number 1417327347
LBN Legal business name Onyeneho, Kate
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2015
Last updated Oct 5th, 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 1417327347 NPPES
Minnesota Other 1952685158 MEDICAID R & B
Minnesota MEDICAID 1952685158 MEDICAID R & B

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