Phillips, Mary

Phillips, Mary is an individual health care provider with primary practice located at 633 Main St Nw Apt 220 , Elk River MN 55330-1792. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phillips, Mary can be contacted via phone (612) 422-0890.

Contact Information

Primary practice address
633 Main St Nw Apt 220 Elk River MN 55330-1792
Phone: (612) 422-0890
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 4021 Minnesota

Profile Details

NPI number 1972677979
LBN Legal business name Phillips, Mary
Credentials M.A., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 12th, 2022 - about 2 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 1972677979 NPPES
Minnesota Other 877934100 MHCP

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