Lowery, Ellen

Lowery, Ellen is an individual health care provider with primary practice located at 7600 Boone Ave N Suite 2, Brooklyn Park MN 55428-4563. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lowery, Ellen can be contacted via phone (763) 515-2450.

Contact Information

Primary practice address
7600 Boone Ave N Suite 2 Brooklyn Park MN 55428-4563
Phone: (763) 515-2450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00091 Minnesota

Profile Details

NPI number 1730193954
LBN Legal business name Lowery, Ellen
Credentials PH.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 18th, 2014 - about 12 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 1730193954 NPPES
Minnesota Other 21266 HP
Minnesota MEDICAID 512716500 HP
Minnesota Other 61-52204 HP
Minnesota Other 26D11LO HP
Minnesota Other 1012053 HP
Minnesota Other 114927 HP
Minnesota Other 148951 HP

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