Zimmerman, Stephanie
Zimmerman, Stephanie is an individual health care provider with primary practice located at 18322 Minnetonka Blvd Ste C , Wayzata MN 55391-3258. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Zimmerman, Stephanie can be contacted via phone (952) 475-2818.Contact Information
Primary practice address
18322 Minnetonka Blvd Ste C
Wayzata MN 55391-3258
Phone: (952) 475-2818
Fax: (952) 475-3356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13714 | Minnesota |
Profile Details
| NPI number | 1023148830 |
|---|---|
| LBN Legal business name | Zimmerman, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Mar 7th, 2012 - about 12 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 | 1023148830 | NPPES |
| Minnesota | MEDICAID | 352166400 |
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