Gullicksrud, Kaitlen
Gullicksrud, Kaitlen is an sole proprietor health care provider with primary practice located at 1151 Transit Ave , Roseville MN 55113-3233. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Gullicksrud, Kaitlen can be contacted via phone (715) 379-0408.Contact Information
Primary practice address
1151 Transit Ave
Roseville MN 55113-3233
Phone: (715) 379-0408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2325 | Minnesota |
Profile Details
| NPI number | 1841649290 |
|---|---|
| LBN Legal business name | Gullicksrud, Kaitlen |
| Credentials | ATC/R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2016 |
| Last updated | Jun 7th, 2016 - about 9 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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