Bakka, Jerry Charles
Bakka, Jerry Charles is an sole proprietor health care provider with primary practice located at 205 W 2Nd St Suite 437, Duluth MN 55802-1928. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bakka, Jerry Charles can be contacted via phone (218) 722-2005.Contact Information
Primary practice address
205 W 2Nd St Suite 437
Duluth MN 55802-1928
Phone: (218) 722-2005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15103 | California |
Profile Details
| NPI number | 1891865093 |
|---|---|
| LBN Legal business name | Bakka, Jerry Charles |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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