Nelson, Beth Ann
Nelson, Beth Ann is an individual health care provider with primary practice located at 4660 Slater Road Suite 210, Eagan MN 55122-4055. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nelson, Beth Ann can be contacted via phone (651) 681-8615.Contact Information
Primary practice address
4660 Slater Road Suite 210
Eagan MN 55122-4055
Phone: (651) 681-8615
Fax: (651) 683-0057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 04313 | Minnesota |
Profile Details
| NPI number | 1114049772 |
|---|---|
| LBN Legal business name | Nelson, Beth Ann |
| Credentials | MSW LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 8th, 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 | 1114049772 | NPPES |
| Other | 6207092 | MEDICA | |
| Other | 40B92NE | MEDICA |
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