Thad Wilderson & Associates Pa

LBN: Thad Wilderson & Associates Pa
Thad Wilderson & Associates Pa is an health care organization with primary practice located at 475 University Ave W , Saint Paul MN 55103-1959. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Agencies / Case Management. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty. Thad Wilderson & Associates Pa can be contacted via phone (651) 225-8997, or through Wilderson, Thad Wilfred via phone (651) 225-8997.

Contact Information

Primary practice address
475 University Ave W Saint Paul MN 55103-1959
Fax: (651) 225-1967
Website:
Authorized official contact:
Name: Wilderson, Thad Wilfred LP

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Agencies / Case Management 251B00000X LP0061 Minnesota

Profile Details

NPI number 1306973698
LBN Legal business name Thad Wilderson & Associates Pa
DBA Doing business as
Authorized official Wilderson, Thad Wilfred LP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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