Rondorf, Jeremy William
Rondorf, Jeremy William is an individual health care provider with primary practice located at 15245 Pleasant Valley Rd , Center City MN 55012-9640. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Rondorf, Jeremy William can be contacted via phone (651) 213-4184.Contact Information
Primary practice address
15245 Pleasant Valley Rd
Center City MN 55012-9640
Phone: (651) 213-4184
Fax: (651) 213-4411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X |
Profile Details
| NPI number | 1639227135 |
|---|---|
| LBN Legal business name | Rondorf, Jeremy William |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Mar 11th, 2021 - about 4 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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