Inderlee, Jesse
Inderlee, Jesse is an individual health care provider with primary practice located at 13895 Industrial Park Blvd , Plymouth MN 55441-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Inderlee, Jesse can be contacted via phone (763) 559-5677.Contact Information
Primary practice address
13895 Industrial Park Blvd
Plymouth MN 55441-3700
Phone: (763) 559-5677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301412 | Minnesota |
Profile Details
| NPI number | 1013201961 |
|---|---|
| LBN Legal business name | Inderlee, Jesse |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2011 |
| Last updated | Jul 10th, 2012 - about 14 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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