Paulson, Gary

Paulson, Gary is an individual health care provider with primary practice located at 375 Orleans St E , Stillwater MN 55082-5830. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Paulson, Gary can be contacted via phone (651) 430-2720.

Contact Information

Primary practice address
375 Orleans St E Stillwater MN 55082-5830
Phone: (651) 430-2720
Fax: (651) 351-3155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300891 Minnesota

Profile Details

NPI number 1215941422
LBN Legal business name Paulson, Gary
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1215941422 NPPES
Minnesota Other 1032488 P1
Minnesota Other 111576 P1
Minnesota Other 57422KU P1
Minnesota Other 84-61062 P1
Minnesota Other 33239 P1

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