Hegeman, Gail
Hegeman, Gail is an sole proprietor health care provider with primary practice located at 1711 County Road B West Suite 144S, Roseville MN 55113-4100. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hegeman, Gail can be contacted via phone (651) 635-0909.Contact Information
Primary practice address
1711 County Road B West Suite 144S
Roseville MN 55113-4100
Phone: (651) 635-0909
Fax: (612) 822-8669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2464 | Minnesota |
Profile Details
| NPI number | 1114910049 |
|---|---|
| LBN Legal business name | Hegeman, Gail |
| Credentials | PH D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Mar 13th, 2024 - about 2 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 | 1114910049 | NPPES |
| Other | 30269000 | MAGELLAN BEHAVIOR HEALTH | |
| Other | 59123AR | MAGELLAN BEHAVIOR HEALTH | |
| Other | 59125HE | MAGELLAN BEHAVIOR HEALTH | |
| MEDICAID | 642047800 | MAGELLAN BEHAVIOR HEALTH | |
| Other | 6113193 | MAGELLAN BEHAVIOR HEALTH |
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