Vine, Craig Jon
Vine, Craig Jon is an sole proprietor health care provider with primary practice located at 2550 University Avenue West Suite 229N, St Paul MN 55114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Vine, Craig Jon can be contacted via phone (651) 645-3115.Contact Information
Primary practice address
2550 University Avenue West Suite 229N
St Paul MN 55114
Phone: (651) 645-3115
Fax: (651) 645-2752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 33712 | Minnesota |
Profile Details
| NPI number | 1164400495 |
|---|---|
| LBN Legal business name | Vine, Craig Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Feb 10th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164400495 | NPPES |
| Minnesota | Other | 317T6VI | BCBS OF MN |
| Minnesota | Other | 1530494 | BCBS OF MN |
| Minnesota | MEDICAID | 786505800 | BCBS OF MN |
Popular Providers
-
Oakman, Scott A
640 Jackson St - Mail Stop 11302C Healthpartners Regions Behavioral Health-St.Paul, St. Paul MN 55101-2502 -
Hermansen, Bruce A
640 Jackson St - Mail Stop 11302C Healthpartners Regions Behavioral Health-St.Paul, St. Paul MN 55101-2502 -
Harris, Suzanne B
640 Jackson St Healthpartners Regions Behavioral Mail Stop 11303A, St Paul MN 55101-2502 -
Borchardt, Carrie M
347 North Smith Avenue Children'S Specialty Clinic Psychological Services Stpl, St. Paul MN 55102 -
Parkinson, Daniel Young
69 West Exchange Street St Josephs Hospital, St Paul MN 55102 -
Dawson, George P
640 Jackson Street Mail Stop 11303A, St Paul MN 55101-2502 -
Solovey, Alex
640 Jackson St Mail Stop 11303A, St Paul MN 55101-2502 -
Capell, Lisa R
640 Jackson St. Mail Stop 11302C, Healthpartners Regions Behavioral Hea, St. Paul MN 55101-2502