Bengtson, Bradley S

Bengtson, Bradley S is an sole proprietor health care provider with primary practice located at 33 Village Pkwy Suite 109, Lino Lakes MN 55014-4409. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Bengtson, Bradley S can be contacted via phone (612) 644-2502.

Contact Information

Primary practice address
33 Village Pkwy Suite 109 Lino Lakes MN 55014-4409
Phone: (612) 644-2502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP4712 Minnesota

Profile Details

NPI number 1417255753
LBN Legal business name Bengtson, Bradley S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2011
Last updated Mar 10th, 2011 - about 13 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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