Jorgenson, Anna

Jorgenson, Anna is an individual health care provider with primary practice located at 3401 Round Lake Blvd Nw , Anoka MN 55303-3315. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Jorgenson, Anna can be contacted via phone (952) 247-3581.

Contact Information

Primary practice address
3401 Round Lake Blvd Nw Anoka MN 55303-3315
Phone: (952) 247-3581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1700508330
LBN Legal business name Jorgenson, Anna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2022
Last updated Sep 12th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700508330 NPPES
Minnesota Other C5V831757234 BLUE CROSS BLUE SHIELD

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