Raderstorf, Mark
Raderstorf, Mark is an individual health care provider with primary practice located at 7211 Ohms Ln , Edina MN 55439-2148. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Raderstorf, Mark can be contacted via phone (952) 927-0184.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 710 | Minnesota |
Profile Details
| NPI number | 1912112798 |
|---|---|
| LBN Legal business name | Raderstorf, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1912112798 | NPPES |
| Minnesota | Other | 16613 | HEALTHPARTNERS |
| Minnesota | Other | 6215612 | HEALTHPARTNERS |
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