Eidem, Serene
Eidem, Serene is an individual health care provider with primary practice located at 1068 Lake St S Ste 109 , Forest Lake MN 55025-2633. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Eidem, Serene can be contacted via phone (651) 982-4792.Contact Information
Primary practice address
1068 Lake St S Ste 109
Forest Lake MN 55025-2633
Phone: (651) 982-4792
Fax: (651) 982-6035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 32549 | Minnesota |
Profile Details
| NPI number | 1144150434 |
|---|---|
| LBN Legal business name | Eidem, Serene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2026 |
| Last updated | May 20th, 2026 - about 6 months 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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