Zelles, Peter Andrew
Zelles, Peter Andrew is an sole proprietor health care provider with primary practice located at 235 Fairview Ave S , Saint Paul MN 55105-1551. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zelles, Peter Andrew can be contacted via phone (651) 698-8745.Contact Information
Primary practice address
235 Fairview Ave S
Saint Paul MN 55105-1551
Phone: (651) 698-8745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP1383 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1673 | Wisconsin |
Profile Details
| NPI number | 1265438022 |
|---|---|
| LBN Legal business name | Zelles, Peter Andrew |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Sep 11th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265438022 | NPPES |
| Minnesota | MEDICAID | 508750300 |
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