Theisen, Jay Lee
Theisen, Jay Lee is an individual health care provider with primary practice located at 2649 Park Ave , Minneapolis MN 55407. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Theisen, Jay Lee can be contacted via phone (612) 676-1604.Contact Information
Primary practice address
2649 Park Ave
Minneapolis MN 55407
Phone: (612) 676-1604
Fax: (612) 379-8235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13782 | Minnesota |
Profile Details
| NPI number | 1588627889 |
|---|---|
| LBN Legal business name | Theisen, Jay Lee |
| Credentials | MSW LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| 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.
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