Doheny, Jeffrey Thomas

Doheny, Jeffrey Thomas is an individual health care provider with primary practice located at 2006 1St Ave Suite 207, Anoka MN 55303-2290. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Doheny, Jeffrey Thomas can be contacted via phone (763) 421-5535.

Contact Information

Primary practice address
2006 1St Ave Suite 207 Anoka MN 55303-2290
Phone: (763) 421-5535
Fax: (763) 433-0226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP1880 Minnesota

Profile Details

NPI number 1255404356
LBN Legal business name Doheny, Jeffrey Thomas
Credentials L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 9th, 2007 - about 18 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 1255404356 NPPES
Minnesota Other 48G91DO BLUE CROSS BLUE SHIELD
Minnesota Other 6213176 BLUE CROSS BLUE SHIELD
Minnesota Other HP40372 BLUE CROSS BLUE SHIELD

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