Eidsmo, Siri Ts
Eidsmo, Siri Ts is an individual health care provider with primary practice located at 2118 Blaisdell Ave , Minneapolis MN 55404-2415. 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 / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Eidsmo, Siri Ts can be contacted via phone (651) 201-2758.Contact Information
Primary practice address
2118 Blaisdell Ave
Minneapolis MN 55404-2415
Phone: (651) 201-2758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 306131 | Minnesota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 30140 | Minnesota |
Profile Details
| NPI number | 1295497055 |
|---|---|
| LBN Legal business name | Eidsmo, Siri Ts |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2021 |
| Last updated | Oct 8th, 2021 - about 5 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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