Thomas, Mary Beth

Thomas, Mary Beth is an sole proprietor health care provider with primary practice located at 207 Avenue C Suite 202, Cloquet MN 55720-1584. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thomas, Mary Beth can be contacted via phone (218) 655-3347.

Contact Information

Primary practice address
207 Avenue C Suite 202 Cloquet MN 55720-1584
Phone: (218) 655-3347
Fax: (218) 655-3390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12849 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 993074 Colorado

Profile Details

NPI number 1184746133
LBN Legal business name Thomas, Mary Beth
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jan 23rd, 2009 - about 17 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 1184746133 NPPES
Minnesota Other 800001494 MEDICARE
Minnesota MEDICAID 766160600 MEDICARE

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