Erickstad, Michelle Rose
Erickstad, Michelle Rose is an sole proprietor health care provider with primary practice located at 653 Dayton Ave , Saint Paul MN 55104-6631. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Erickstad, Michelle Rose can be contacted via phone (651) 330-2052.Contact Information
Primary practice address
653 Dayton Ave
Saint Paul MN 55104-6631
Phone: (651) 330-2052
Fax: (651) 330-4077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 18851 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 18851 | Minnesota |
Profile Details
| NPI number | 1437499118 |
|---|---|
| LBN Legal business name | Erickstad, Michelle Rose |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2013 |
| Last updated | Feb 18th, 2013 - about 13 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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