Feddema, Gwen N
Feddema, Gwen N is an individual health care provider with primary practice located at 1900 Centracare Cir , Saint Cloud MN 56303-5000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Feddema, Gwen N can be contacted via phone (320) 229-4918.Contact Information
Primary practice address
1900 Centracare Cir
Saint Cloud MN 56303-5000
Phone: (320) 229-4918
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14698 | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 14698 | Minnesota |
Profile Details
| NPI number | 1659092757 |
|---|---|
| LBN Legal business name | Feddema, Gwen N |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2022 |
| Last updated | Sep 7th, 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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