Koll, Jon M
Koll, Jon M is an individual health care provider with primary practice located at 407 Washington St , Monticello MN 55362-8815. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Koll, Jon M can be contacted via phone (763) 295-4001.Contact Information
Primary practice address
407 Washington St
Monticello MN 55362-8815
Phone: (763) 295-4001
Fax: (763) 295-5086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP2938 | Minnesota |
Profile Details
| NPI number | 1376588798 |
|---|---|
| LBN Legal business name | Koll, Jon M |
| Credentials | MS CP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376588798 | NPPES |
| Other | HP27746 | HEALTH PARTNERS | |
| Other | 208GOKO | HEALTH PARTNERS | |
| Other | 922241007838 | HEALTH PARTNERS | |
| Other | 6250886 | HEALTH PARTNERS |
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