Childs, Julie Ann
Childs, Julie Ann is an individual health care provider with primary practice located at 2353 Rice St Suite 214, Roseville MN 55113-3739. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Childs, Julie Ann can be contacted via phone (651) 783-5656.Contact Information
Primary practice address
2353 Rice St Suite 214
Roseville MN 55113-3739
Phone: (651) 783-5656
Fax: (651) 483-1525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301162 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11272 | Minnesota |
Profile Details
| NPI number | 1700811486 |
|---|---|
| LBN Legal business name | Childs, Julie Ann |
| Credentials | M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 26th, 2009 - about 17 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 | 1700811486 | NPPES |
| Minnesota | Other | 163T1CH | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 444267900 | BLUE CROSS BLUE SHIELD |
| Minnesota | Other | 01031200 | BLUE CROSS BLUE SHIELD |
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