Ambrose, John

Ambrose, John is an individual health care provider with primary practice located at 11660 Round Lake Blvd Nw , Coon Rapids MN 55433-2638. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ambrose, John can be contacted via phone (612) 562-6790.

Contact Information

Primary practice address
11660 Round Lake Blvd Nw Coon Rapids MN 55433-2638
Phone: (612) 562-6790
Fax: (763) 767-0912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304566 Minnesota

Profile Details

NPI number 1881364008
LBN Legal business name Ambrose, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2021
Last updated Sep 18th, 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.

Request for update

Popular Providers