Bloemendaal, Bryan Allen

Bloemendaal, Bryan Allen is an sole proprietor health care provider with primary practice located at 4215 9Th Ave S , Fargo ND 58103-2018. 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. Bloemendaal, Bryan Allen can be contacted via phone (701) 373-8667.

Contact Information

Primary practice address
4215 9Th Ave S Fargo ND 58103-2018
Phone: (701) 373-8667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304586 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1797 North Dakota

Profile Details

NPI number 1245784156
LBN Legal business name Bloemendaal, Bryan Allen
Credentials MS, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2016
Last updated Aug 29th, 2016 - about 9 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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