Hegblom, Thomas John
Hegblom, Thomas John is an individual health care provider with primary practice located at 3033 Excelsior Blvd Ste 215 , Minneapolis MN 55416-5274. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Hegblom, Thomas John can be contacted via phone (612) 217-2828.Contact Information
Primary practice address
3033 Excelsior Blvd Ste 215
Minneapolis MN 55416-5274
Phone: (612) 217-2828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3597 | Minnesota |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304627 | Minnesota |
Profile Details
| NPI number | 1710647425 |
|---|---|
| LBN Legal business name | Hegblom, Thomas John |
| Credentials | PHD, LPC, LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2021 |
| Last updated | Nov 2nd, 2022 - about 3 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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