Reitman, Paul
Reitman, Paul is an sole proprietor health care provider with primary practice located at 4663 White Bear Pkwy , White Bear Lake MN 55110-3300. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Reitman, Paul can be contacted via phone (612) 508-9390.Contact Information
Primary practice address
4663 White Bear Pkwy
White Bear Lake MN 55110-3300
Phone: (612) 508-9390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP0377 | Minnesota |
Profile Details
| NPI number | 1720010366 |
|---|---|
| LBN Legal business name | Reitman, Paul |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Apr 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720010366 | NPPES |
| Minnesota | Other | 984241007131 | PREFERRED ONE |
| Minnesota | Other | 41745RE | PREFERRED ONE |
| Minnesota | MEDICAID | 098547300 | PREFERRED ONE |
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