Eiselt, Megan

Eiselt, Megan is an sole proprietor health care provider with primary practice located at 5500 94Th Ave N , Brooklyn Park MN 55443. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eiselt, Megan can be contacted via phone (612) 274-7403.

Contact Information

Primary practice address
5500 94Th Ave N Brooklyn Park MN 55443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 24711 Minnesota

Profile Details

NPI number 1275064461
LBN Legal business name Eiselt, Megan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2017
Last updated Jul 9th, 2018 - about 8 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 1275064461 NPPES
Minnesota MEDICAID 1275064461

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