Hintz, Amanda Jo
Hintz, Amanda Jo is an individual health care provider with primary practice located at 7115 Forthun Rd Suite 105, Baxter MN 56425-8597. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hintz, Amanda Jo can be contacted via phone (218) 454-0090.Contact Information
Primary practice address
7115 Forthun Rd Suite 105
Baxter MN 56425-8597
Phone: (218) 454-0090
Fax: (218) 454-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3270 | Minnesota |
Profile Details
| NPI number | 1104872423 |
|---|---|
| LBN Legal business name | Hintz, Amanda Jo |
| Credentials | MS, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jan 18th, 2011 - about 15 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 | 1104872423 | NPPES |
| Minnesota | Other | 375255000 | MNHC |
| Minnesota | Other | 924D4HI | MNHC |
| Minnesota | Other | 99099-1027732 | MNHC |
| Minnesota | Other | 1104872423 | MNHC |
| Minnesota | Other | HP33725 | MNHC |
| Minnesota | Other | 61-58515 | MNHC |
| Minnesota | Other | 112404 | MNHC |
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