Thinesen, Paul John
Thinesen, Paul John is an sole proprietor health care provider with primary practice located at 2565 Morningside Rd , Long Lake MN 55356-9109. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Thinesen, Paul John can be contacted via phone (651) 263-0763.Contact Information
Primary practice address
2565 Morningside Rd
Long Lake MN 55356-9109
Phone: (651) 263-0763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0762 | Minnesota |
Profile Details
| NPI number | 1982774352 |
|---|---|
| LBN Legal business name | Thinesen, Paul John |
| Credentials | MA LP BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | May 18th, 2010 - about 15 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 | 1982774352 | NPPES |
| Minnesota | Other | 6190806 | MEDICA |
| Minnesota | Other | 84G16TH | MEDICA |
| Minnesota | Other | 191308 | MEDICA |
| Minnesota | MEDICAID | 232850000 | MEDICA |
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