Schaefer, Mark

Schaefer, Mark is an sole proprietor health care provider with primary practice located at 8009 34Th Ave S Suite 1490, Bloomington MN 55425-1794. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Schaefer, Mark can be contacted via phone (952) 854-5550.

Contact Information

Primary practice address
8009 34Th Ave S Suite 1490 Bloomington MN 55425-1794
Phone: (952) 854-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0637 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 191 Minnesota

Profile Details

NPI number 1154403673
LBN Legal business name Schaefer, Mark
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154403673 NPPES
Minnesota Other 217J1SC BLUE CROSS BLUE SHIELD

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