Abbott, Geoffrey Thomas
Abbott, Geoffrey Thomas is an individual health care provider with primary practice located at 1020 W Broadway Ave Umphysicians Broadway Family Medicine, Minneapolis MN 55411-2504. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Abbott, Geoffrey Thomas can be contacted via phone (612) 302-8200.Contact Information
Primary practice address
1020 W Broadway Ave Umphysicians Broadway Family Medicine
Minneapolis MN 55411-2504
Phone: (612) 302-8200
Fax: (612) 302-8275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3977 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3977 | Minnesota |
Profile Details
| NPI number | 1952345639 |
|---|---|
| LBN Legal business name | Abbott, Geoffrey Thomas |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1952345639 | NPPES |
| Minnesota | Other | 100593 | UCARE |
| Minnesota | Other | 62-55425 | UCARE |
| Minnesota | Other | 1019266 | UCARE |
| Minnesota | Other | 37B39AB | UCARE |
| Minnesota | Other | 767983 | UCARE |
| Minnesota | Other | HP27477 | UCARE |
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