Kurtz, Jeanne Marie

Kurtz, Jeanne Marie is an individual health care provider with primary practice located at 7115 Forthun Road Suite 105, Baxter MN 56425. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kurtz, Jeanne Marie can be contacted via phone (218) 454-0090.

Contact Information

Primary practice address
7115 Forthun Road Suite 105 Baxter MN 56425
Phone: (218) 454-0090
Fax: (218) 454-0091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP2689 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2689 Minnesota

Profile Details

NPI number 1760544423
LBN Legal business name Kurtz, Jeanne Marie
Credentials PHD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated May 26th, 2011 - about 15 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 1760544423 NPPES
Minnesota MEDICAID 4209552
Minnesota Other LP2689

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