Szykowski, Raphael Anthony

Szykowski, Raphael Anthony is an individual health care provider with primary practice located at 5910 Shingle Creek Pkwy , Brooklyn Center MN 55430-2322. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Szykowski, Raphael Anthony can be contacted via phone (763) 569-5201.

Contact Information

Primary practice address
5910 Shingle Creek Pkwy Brooklyn Center MN 55430-2322
Fax: (763) 569-5240
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 17129 Minnesota

Profile Details

NPI number 1639216583
LBN Legal business name Szykowski, Raphael Anthony
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 1st, 2022 - about 3 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 1639216583 NPPES
Minnesota MEDICAID 849423100

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