Kong, Sovichea

Kong, Sovichea is an individual health care provider with primary practice located at 2614 Nicollet Ave Ste 209 , Minneapolis MN 55408-1628. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Kong, Sovichea can be contacted via phone (952) 228-1346.

Contact Information

Primary practice address
2614 Nicollet Ave Ste 209 Minneapolis MN 55408-1628
Phone: (952) 228-1346
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1093311144
LBN Legal business name Kong, Sovichea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - about 5 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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