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:
Health care specialties
| Specialty | Code | License # | 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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