Dittrich, Connie L.
Dittrich, Connie L. is an sole proprietor health care provider with primary practice located at 6542 Regency Ln #209, Eden Prairie MN 55344-7847. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Dittrich, Connie L. can be contacted via phone (952) 903-9250.Contact Information
Primary practice address
6542 Regency Ln #209
Eden Prairie MN 55344-7847
Phone: (952) 903-9250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP3987 | Minnesota |
Profile Details
| NPI number | 1790902625 |
|---|---|
| LBN Legal business name | Dittrich, Connie L. |
| Credentials | MA, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790902625 | NPPES |
| Minnesota | Other | 42G91DI | BCBS CLINIC NUMBER |
| Minnesota | Other | 42G92DI | BCBS CLINIC NUMBER |
Popular Providers
-
Koegel, Henry Michael
412 6Th Ave Ste 612, New York NY 10011-8409 -
Daurora, James Joseph
13214 Kerry Ln , Eden Prairie MN 55346-3140 -
Clark, Mary Mcginn
10981 San Diego Mission Rd Ste 114, San Diego CA 92108-2448 -
Rogers, Daryn
15832 Venture Ln , Eden Prairie MN 55344-5732 -
Firem, Patricia Maskow
401 South St # 2B, Chardon OH 44024-2805 -
Taylor, Sandra Hammond
8897 Aztec Drive , Eden Prairie MN 55344 -
Cowley, Anne T
6542 Regency Ln , Eden Prairie MN 55344-7847 -
Sigler, Todd Michael
1935 County Road B2 W Ste 270 , Roseville MN 55113-2785