Loose, Charla Ann

Loose, Charla Ann is an sole proprietor health care provider with primary practice located at 2419 Washington Ave , Montevideo MN 56265-2619. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Loose, Charla Ann can be contacted via phone (320) 877-7074.

Contact Information

Primary practice address
2419 Washington Ave Montevideo MN 56265-2619
Phone: (320) 877-7074
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1336873843
LBN Legal business name Loose, Charla Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2022
Last updated Jul 11th, 2022 - about 3 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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