Schwanberg, Jennifer Suzanne
Schwanberg, Jennifer Suzanne is an individual health care provider with primary practice located at 1900 Centracare Circle Ste 2350, St Cloud MN 56303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Schwanberg, Jennifer Suzanne can be contacted via phone (320) 229-4918.Contact Information
Primary practice address
1900 Centracare Circle Ste 2350
St Cloud MN 56303
Phone: (320) 229-4918
Fax: (320) 229-5177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4005 | Minnesota |
Profile Details
NPI number | 1376593178 |
---|---|
LBN Legal business name | Schwanberg, Jennifer Suzanne |
Credentials | PHD LP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | May 24th, 2018 - about 7 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 | 1376593178 | NPPES |
Minnesota | MEDICAID | 733513000 |
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