Individual
PAUL JOHN THINESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LP BCBA
Contact information
Practice address
2565 MORNINGSIDE RD, LONG LAKE, MN 55356-9109
(651) 263-0763
Mailing address
2565 MORNINGSIDE RD, LONG LAKE, MN 55356-9109
(651) 263-0763
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0762
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191308
VALUEOPTIONS ID
MN
05
—
232850000
—
MN
01
—
6190806
MEDICA
MN
01
—
84G16TH
BCBS
MN
Enumeration date
11/09/2006
Last updated
05/18/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us