Boehlke, Mary Ruth

Boehlke, Mary Ruth is an individual health care provider with primary practice located at 1660 Highway 100 S Ste. 568, Minneapolis MN 55416-1529. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Boehlke, Mary Ruth can be contacted via phone (952) 545-6800.

Contact Information

Primary practice address
1660 Highway 100 S Ste. 568 Minneapolis MN 55416-1529
Phone: (952) 545-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X MN LP0708 Minnesota

Profile Details

NPI number 1609855956
LBN Legal business name Boehlke, Mary Ruth
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Jul 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609855956 NPPES
Minnesota Other 1G186BO BLUE CROSS OF MN

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