Wittrock, Tamara

Wittrock, Tamara is an sole proprietor health care provider with primary practice located at 2025 Bluestone Ln , Eagan MN 55122. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wittrock, Tamara can be contacted via phone (651) 528-1130.

Contact Information

Primary practice address
2025 Bluestone Ln Eagan MN 55122
Phone: (651) 528-1130
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 29848 Minnesota

Profile Details

NPI number 1255949459
LBN Legal business name Wittrock, Tamara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2020
Last updated Nov 17th, 2022 - about 3 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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