Foote Milbrandt, Phyllis A
Foote Milbrandt, Phyllis A is an individual health care provider with primary practice located at 401 Division Street Suite C, Northfield MN 55057. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Foote Milbrandt, Phyllis A can be contacted via phone (507) 645-6249.Contact Information
Primary practice address
401 Division Street Suite C
Northfield MN 55057
Phone: (507) 645-6249
Fax: (507) 645-0269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3374 | Minnesota |
| Nursing Service Providers / Registered Nurse | 163W00000X | R0691053 | Minnesota |
Profile Details
| NPI number | 1679673503 |
|---|---|
| LBN Legal business name | Foote Milbrandt, Phyllis A |
| Credentials | RN MA LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | May 23rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679673503 | NPPES |
| Minnesota | Other | 48B03FO | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 529167400 | BLUE CROSS BLUE SHIELD |
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