Litchke, Sarah Jayne

Litchke, Sarah Jayne is an individual health care provider with primary practice located at 213 Se 11Th St , Grand Rapids MN 55744-3970. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Litchke, Sarah Jayne can be contacted via phone (218) 327-1890.

Contact Information

Primary practice address
213 Se 11Th St Grand Rapids MN 55744-3970
Phone: (218) 327-1890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302575 Minnesota

Profile Details

NPI number 1881835692
LBN Legal business name Litchke, Sarah Jayne
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2009
Last updated Mar 9th, 2009 - about 17 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 1881835692 NPPES
Other 1972792935 MEDICA
Other 1972792935 MEDICA
MEDICAID 1972792935 MEDICA
Other 1972792935 MEDICA

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