Jotter, Marmie Pauline

Jotter, Marmie Pauline is an sole proprietor health care provider with primary practice located at 3105 E Beltline Suite 16, Hibbing MN 55746-2353. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jotter, Marmie Pauline can be contacted via phone (218) 263-5949.

Contact Information

Primary practice address
3105 E Beltline Suite 16 Hibbing MN 55746-2353
Phone: (218) 263-5949
Fax: (218) 263-8435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18284 Minnesota

Profile Details

NPI number 1184947814
LBN Legal business name Jotter, Marmie Pauline
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2010
Last updated Mar 25th, 2013 - about 13 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 1184947814 NPPES
Minnesota Other 800002959/C09138 MEDICARE PROVIDER ENROLLMENT INDIVIDUAL/PTAN

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