Beran, Diana

Beran, Diana is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beran, Diana can be contacted via phone (612) 672-6999.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Phone: (612) 672-6999
Fax: (612) 672-2691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3979 Minnesota

Profile Details

NPI number 1205920352
LBN Legal business name Beran, Diana
Credentials MS, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 13th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205920352 NPPES
Minnesota Other 170155000 MN CARE
Minnesota Other 129786 MN CARE
Minnesota Other 62-41762 MN CARE
Minnesota Other 41-1546550 MN CARE
Minnesota Other HP30456 MN CARE
Minnesota Other 112M2BE MN CARE

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