Prichard, John Mark
Prichard, John Mark is an sole proprietor health care provider with primary practice located at 1500 Mcandrews Rd W Suite 209, Burnsville MN 55337-4432. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Prichard, John Mark can be contacted via phone (952) 808-3166.Contact Information
Primary practice address
1500 Mcandrews Rd W Suite 209
Burnsville MN 55337-4432
Phone: (952) 808-3166
Fax: (952) 892-1722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP0623 | Minnesota |
Profile Details
| NPI number | 1669464905 |
|---|---|
| LBN Legal business name | Prichard, John Mark |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Dec 20th, 2013 - about 11 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 | 1669464905 | NPPES |
| Minnesota | MEDICAID | 283551700 | |
| Minnesota | Other | 6133246 | |
| Minnesota | Other | 9L867PR |
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