Adam, Ridwaan Aydarus

Adam, Ridwaan Aydarus is an individual health care provider with primary practice located at 9333 Penn Ave S , Bloomington MN 55431-2320. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Adam, Ridwaan Aydarus can be contacted via phone (952) 393-8233.

Contact Information

Primary practice address
9333 Penn Ave S Bloomington MN 55431-2320
Phone: (952) 393-8233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1386239036
LBN Legal business name Adam, Ridwaan Aydarus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2021
Last updated Mar 4th, 2021 - about 3 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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