Wallen, Elizabeth

Wallen, Elizabeth is an individual health care provider with primary practice located at 600 Reed St Suite 115, Mankato MN 56001-6410. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallen, Elizabeth can be contacted via phone (507) 625-4060.

Contact Information

Primary practice address
600 Reed St Suite 115 Mankato MN 56001-6410
Phone: (507) 625-4060
Fax: (507) 625-3915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2168 Minnesota

Profile Details

NPI number 1821049917
LBN Legal business name Wallen, Elizabeth
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821049917 NPPES
Minnesota Other 120012 UCARE MINNESOTA
Minnesota Other 026L7WA UCARE MINNESOTA
Minnesota Other 6273529 UCARE MINNESOTA
Minnesota Other HP38262 UCARE MINNESOTA

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