Wiggenhorn, Lori Ab

Wiggenhorn, Lori Ab is an sole proprietor health care provider with primary practice located at 3640 Talmage Cir Ste 205 , Vadnais Heights MN 55110-4184. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wiggenhorn, Lori Ab can be contacted via phone (612) 388-5236.

Contact Information

Primary practice address
3640 Talmage Cir Ste 205 Vadnais Heights MN 55110-4184
Phone: (612) 388-5236
Fax: (612) 326-3359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3703 Minnesota

Profile Details

NPI number 1013015940
LBN Legal business name Wiggenhorn, Lori Ab
Credentials MA, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Feb 19th, 2019 - about 7 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 1013015940 NPPES
Minnesota MEDICAID 200731439

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