Wallberg, Cristofer
Wallberg, Cristofer is an sole proprietor health care provider with primary practice located at 10450 185Th St W Ste 100 , Lakeville MN 55044-6696. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Wallberg, Cristofer can be contacted via phone (612) 509-1283.Contact Information
Primary practice address
10450 185Th St W Ste 100
Lakeville MN 55044-6696
Phone: (612) 509-1283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1073192068 |
|---|---|
| LBN Legal business name | Wallberg, Cristofer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2021 |
| Last updated | Apr 22nd, 2022 - about 4 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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