Starr, Nicholas Lee

Starr, Nicholas Lee is an individual health care provider with primary practice located at 900 5Th St Ste 305 , International Falls MN 56649-2200. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Starr, Nicholas Lee can be contacted via phone (218) 283-3406.

Contact Information

Primary practice address
900 5Th St Ste 305 International Falls MN 56649-2200
Phone: (218) 283-3406
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP5294 Minnesota

Profile Details

NPI number 1104133586
LBN Legal business name Starr, Nicholas Lee
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Sep 8th, 2010 - about 15 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 1104133586 NPPES
Minnesota MEDICAID 322853300

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