Bomstad, Mckenzie

Bomstad, Mckenzie is an individual health care provider with primary practice located at 411 3Rd St N , Waite Park MN 56387-1177. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bomstad, Mckenzie can be contacted via phone (320) 253-4120.

Contact Information

Primary practice address
411 3Rd St N Waite Park MN 56387-1177
Phone: (320) 253-4120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 30958 Minnesota

Profile Details

NPI number 1316503683
LBN Legal business name Bomstad, Mckenzie
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2019
Last updated Dec 6th, 2024 - about 2 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.

Request for update

Popular Providers