Schmitz, Michael Fukasawa

Schmitz, Michael Fukasawa is an individual health care provider with primary practice located at 800 E 28Th St Wasie Building, 6Th Floor, Mr 15600, Minneapolis MN 55407-3723. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Schmitz, Michael Fukasawa can be contacted via phone (612) 863-5327.

Contact Information

Primary practice address
800 E 28Th St Wasie Building, 6Th Floor, Mr 15600 Minneapolis MN 55407-3723
Phone: (612) 863-5327
Fax: (612) 863-2596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1448 Minnesota

Profile Details

NPI number 1851351688
LBN Legal business name Schmitz, Michael Fukasawa
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 17th, 2014 - about 11 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 1851351688 NPPES
Minnesota MEDICAID 470315400

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