Justic, Marcia Lynn

Justic, Marcia Lynn is an individual health care provider with primary practice located at 2545 Chicago Ave Suite 701, Minneapolis MN 55404-4522. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Justic, Marcia Lynn can be contacted via phone (612) 863-5327.

Contact Information

Primary practice address
2545 Chicago Ave Suite 701 Minneapolis MN 55404-4522
Phone: (612) 863-5327
Fax: (612) 863-2596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R072870-6 Minnesota

Profile Details

NPI number 1932163615
LBN Legal business name Justic, Marcia Lynn
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Apr 1st, 2015 - about 11 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 1932163615 NPPES
Minnesota MEDICAID 111219800

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