Bedore, Evan

Bedore, Evan is an individual health care provider with primary practice located at 9245 Quantrelle Ave Ne , Otsego MN 55330-0168. 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. Bedore, Evan can be contacted via phone (320) 219-9472.

Contact Information

Primary practice address
9245 Quantrelle Ave Ne Otsego MN 55330-0168
Phone: (320) 219-9472
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1639821325
LBN Legal business name Bedore, Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2022
Last updated Jan 24th, 2022 - 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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