Yozamp, Mary Kay

Yozamp, Mary Kay is an individual health care provider with primary practice located at 4201 Dean Lakes Blvd , Shakopee MN 55379-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Yozamp, Mary Kay can be contacted via phone (612) 509-6680.

Contact Information

Primary practice address
4201 Dean Lakes Blvd Shakopee MN 55379-2829
Fax:
Website:

Health care specialties

Profile Details

NPI number 1730787375
LBN Legal business name Yozamp, Mary Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 2020 - about 4 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 1730787375 NPPES
Minnesota MEDICAID 1588993091

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