Bisanz-Haas, Colette Maureen

Bisanz-Haas, Colette Maureen is an individual health care provider with primary practice located at 9301 Bryant Ave S Ste 107 , Bloomington MN 55420-3438. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bisanz-Haas, Colette Maureen can be contacted via phone (952) 562-3740.

Contact Information

Primary practice address
9301 Bryant Ave S Ste 107 Bloomington MN 55420-3438
Phone: (952) 562-3740
Fax: (952) 405-9723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1077449-2CDT Minnesota

Profile Details

NPI number 1346601804
LBN Legal business name Bisanz-Haas, Colette Maureen
Credentials MA, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2016
Last updated Mar 11th, 2016 - about 8 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 1346601804 NPPES
Minnesota MEDICAID 472356918

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