Hein-Kolo, Nancy Jo
Hein-Kolo, Nancy Jo is an individual health care provider with primary practice located at 1606 C 30Th Ave S , Moorhead MN 56560. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hein-Kolo, Nancy Jo can be contacted via phone (218) 287-4338.Contact Information
Primary practice address
1606 C 30Th Ave S
Moorhead MN 56560
Phone: (218) 287-4338
Fax: (218) 287-5928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3314 | Minnesota |
Profile Details
| NPI number | 1821182924 |
|---|---|
| LBN Legal business name | Hein-Kolo, Nancy Jo |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 26th, 2010 - about 16 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 | 1821182924 | NPPES |
| Other | 6165134 | UBH | |
| Other | 21463 | UBH | |
| MEDICAID | 11761 | UBH | |
| Other | HP30049 | UBH | |
| Other | 1022602 | UBH | |
| MEDICAID | 067322600 | UBH | |
| Other | 1400L4HE | UBH |
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