Elenkiwich, Lyle Gene

Elenkiwich, Lyle Gene is an sole proprietor health care provider with primary practice located at 2311 146Th Ave Ne , Ham Lake MN 55304-6408. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elenkiwich, Lyle Gene can be contacted via phone (763) 242-9240.

Contact Information

Primary practice address
2311 146Th Ave Ne Ham Lake MN 55304-6408
Phone: (763) 242-9240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11797 Minnesota

Profile Details

NPI number 1649461245
LBN Legal business name Elenkiwich, Lyle Gene
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Aug 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.

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