Walgren, Mischel B.
Walgren, Mischel B. is an sole proprietor health care provider with primary practice located at 3805 Kipling Ave Minneapolis, Mn, Minneapolis MN 55416-4945. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Walgren, Mischel B. can be contacted via phone (612) 267-6062.Contact Information
Primary practice address
3805 Kipling Ave Minneapolis, Mn
Minneapolis MN 55416-4945
Phone: (612) 267-6062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LP1579 | Minnesota |
Profile Details
| NPI number | 1871630533 |
|---|---|
| LBN Legal business name | Walgren, Mischel B. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871630533 | NPPES |
| Minnesota | Other | 30814WA | BLUE CROSS BLUE SHIELD |
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