Fossum, Merle

Fossum, Merle is an individual health care provider with primary practice located at 7701 Normandale Rd Suite #100, Edina MN 55435-5310. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fossum, Merle can be contacted via phone (651) 225-4675.

Contact Information

Primary practice address
7701 Normandale Rd Suite #100 Edina MN 55435-5310
Phone: (651) 225-4675
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5417 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 99 Minnesota

Profile Details

NPI number 1528007333
LBN Legal business name Fossum, Merle
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - 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.

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