Sschmidt Llc | |
3137 Hennepin Ave Suite 101 Minneapolis MN 55408-2601 | |
(612) 412-0236 | |
Not Available |
Full Name | Sschmidt Llc |
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Speciality | Community/Behavioral Health |
Location | 3137 Hennepin Ave, Minneapolis, Minnesota |
Authorized Official Name and Position | Shannon Marie Schmidt (PSYCHOLOGIST) |
Authorized Official Contact | 6124120236 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sschmidt Llc 3137 Hennepin Ave Suite 101 Minneapolis MN 55408-2601 Ph: (612) 412-0236 | Sschmidt Llc 3137 Hennepin Ave Suite 101 Minneapolis MN 55408-2601 Ph: (612) 412-0236 |
NPI Number | 1710245147 |
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Provider Enumeration Date | 04/23/2012 |
Last Update Date | 04/23/2012 |
Medicare PECOS PAC ID | 0143476226 |
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Medicare Enrollment ID | O20120806000123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710245147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LP2947 (Minnesota) | Primary |
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