Linnihan, Mary Ellen
Linnihan, Mary Ellen is an sole proprietor health care provider with primary practice located at 516 S Pokegama Ave Suite B, Grand Rapids MN 55744-3800. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Linnihan, Mary Ellen can be contacted via phone (218) 244-9414.Contact Information
Primary practice address
516 S Pokegama Ave Suite B
Grand Rapids MN 55744-3800
Phone: (218) 244-9414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3192 | Minnesota |
Profile Details
| NPI number | 1457446882 |
|---|---|
| LBN Legal business name | Linnihan, Mary Ellen |
| Credentials | MA, LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 9th, 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 | 1457446882 | NPPES |
| Minnesota | MEDICAID | 460844500 | |
| Minnesota | Other | 9H399LI |
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