Vikesland, Gary D
Vikesland, Gary D is an individual health care provider with primary practice located at 10700 Old County Road 15 Ste 170 , Plymouth MN 55441-8709. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Vikesland, Gary D can be contacted via phone (763) 525-8590.Contact Information
Primary practice address
10700 Old County Road 15 Ste 170
Plymouth MN 55441-8709
Phone: (763) 525-8590
Fax: (763) 525-8592
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP3160 | Minnesota |
Profile Details
NPI number | 1073506846 |
---|---|
LBN Legal business name | Vikesland, Gary D |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2005 |
Last updated | Jan 17th, 2024 - about 8 months 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 | 1073506846 | NPPES |
Minnesota | MEDICAID | 069523800 |
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