Theisen, Jay Lee

Theisen, Jay Lee is an individual health care provider with primary practice located at 2649 Park Ave , Minneapolis MN 55407. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Theisen, Jay Lee can be contacted via phone (612) 676-1604.

Contact Information

Primary practice address
2649 Park Ave Minneapolis MN 55407
Phone: (612) 676-1604
Fax: (612) 379-8235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13782 Minnesota

Profile Details

NPI number 1588627889
LBN Legal business name Theisen, Jay Lee
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 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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