Whiteside, Mary Jane

Whiteside, Mary Jane is an sole proprietor health care provider with primary practice located at 217 Plum St Suite 140, Red Wing MN 55066-2351. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Whiteside, Mary Jane can be contacted via phone (651) 388-4302.

Contact Information

Primary practice address
217 Plum St Suite 140 Red Wing MN 55066-2351
Phone: (651) 388-4302
Fax: (651) 385-9052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3361 Minnesota

Profile Details

NPI number 1083780829
LBN Legal business name Whiteside, Mary Jane
Credentials PHD, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083780829 NPPES
Minnesota Other 167752 UCARE
Minnesota Other 108480 UCARE
Minnesota Other 132T8WH UCARE
Minnesota Other 1027089 UCARE
Minnesota Other 132T7WH UCARE
Minnesota Other 61-68825 UCARE
Minnesota Other (NO NUMBER) UCARE

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