Schilplin, Sara Elvabogestad
Schilplin, Sara Elvabogestad is an individual health care provider with primary practice located at 12301 Whitewater Dr Ste 101, Minnetonka MN 55343-9447. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Schilplin, Sara Elvabogestad can be contacted via phone (952) 999-6097.Contact Information
Primary practice address
12301 Whitewater Dr Ste 101
Minnetonka MN 55343-9447
Phone: (952) 999-6097
Fax: (952) 426-0508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 491 | South Dakota |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 491 | South Dakota |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP4754 | Minnesota |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | LP4754 | Minnesota |
Profile Details
NPI number | 1821106279 |
---|---|
LBN Legal business name | Schilplin, Sara Elvabogestad |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2006 |
Last updated | Dec 23rd, 2016 - about 9 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 | 1821106279 | NPPES |
South Dakota | MEDICAID | 2001653 | |
South Dakota | MEDICAID | 1821106279 |
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