Cruse, Scott C

Cruse, Scott C is an individual health care provider with primary practice located at 640 Jackson St Mail Stop 11303A, St Paul MN 55101-2502. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cruse, Scott C can be contacted via phone (651) 254-4786.

Contact Information

Primary practice address
640 Jackson St Mail Stop 11303A St Paul MN 55101-2502
Phone: (651) 254-4786
Fax: (651) 228-8362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 03813 Minnesota

Profile Details

NPI number 1356315717
LBN Legal business name Cruse, Scott C
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 2nd, 2015 - about 11 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 1356315717 NPPES
Minnesota MEDICAID 172867900

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