Hoistad, Andrew Clark

Hoistad, Andrew Clark is an individual health care provider with primary practice located at 1245 Gun Club Rd , White Bear Lake MN 55110-3379. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Hoistad, Andrew Clark can be contacted via phone (612) 644-4887.

Contact Information

Primary practice address
1245 Gun Club Rd White Bear Lake MN 55110-3379
Phone: (612) 644-4887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1114799301
LBN Legal business name Hoistad, Andrew Clark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 2023 - 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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