Born, Jennifer

Born, Jennifer is an sole proprietor health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Born, Jennifer can be contacted via phone (866) 603-0016.

Contact Information

Primary practice address
2925 Chicago Ave Minneapolis MN 55407-1321
Phone: (866) 603-0016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP5098 Minnesota

Profile Details

NPI number 1760611933
LBN Legal business name Born, Jennifer
Credentials PSY.D, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2009
Last updated Mar 22nd, 2021 - about 4 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 1760611933 NPPES
Minnesota MEDICAID 073645000

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