Williamsen, Joanne Marie

Williamsen, Joanne Marie is an individual health care provider with primary practice located at 3300 County Road 10 Suite 500, Brooklyn Center MN 55429-3072. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Williamsen, Joanne Marie can be contacted via phone (763) 560-8331.

Contact Information

Primary practice address
3300 County Road 10 Suite 500 Brooklyn Center MN 55429-3072
Phone: (763) 560-8331
Fax: (763) 560-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X LP3939 Minnesota

Profile Details

NPI number 1831233055
LBN Legal business name Williamsen, Joanne Marie
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Oct 27th, 2009 - 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 1831233055 NPPES
Minnesota MEDICAID 436321300

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