Venzke, Susan Jane

Venzke, Susan Jane is an sole proprietor health care provider with primary practice located at 7362 University Ave Ne Suite 101, Fridley MN 55432-3142. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Venzke, Susan Jane can be contacted via phone (763) 503-3981.

Contact Information

Primary practice address
7362 University Ave Ne Suite 101 Fridley MN 55432-3142
Fax: (763) 503-3981
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 968 Minnesota

Profile Details

NPI number 1598874703
LBN Legal business name Venzke, Susan Jane
Credentials SOCIAL WORKER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated May 15th, 2008 - about 16 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 1598874703 NPPES
Minnesota Other 430R5VE BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 800001435 BLUE CROSS BLUE SHIELD
Minnesota Other 6270939 BLUE CROSS BLUE SHIELD

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