Beaver, Gary Rex

Beaver, Gary Rex is an sole proprietor health care provider with primary practice located at 199 Coon Rapids Blvd Nw Suite 306, Coon Rapids MN 55433-5831. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Beaver, Gary Rex can be contacted via phone (763) 780-1520.

Contact Information

Primary practice address
199 Coon Rapids Blvd Nw Suite 306 Coon Rapids MN 55433-5831
Phone: (763) 780-1520
Fax: (763) 780-2114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2584 Minnesota

Profile Details

NPI number 1154405868
LBN Legal business name Beaver, Gary Rex
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 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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