Bonilla Bermudez, Daniela Alejandra

Bonilla Bermudez, Daniela Alejandra is an individual health care provider with primary practice located at 6200 Excelsior Blvd Ste 203 , St Louis Park MN 55416-2734. 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. Bonilla Bermudez, Daniela Alejandra can be contacted via phone (952) 548-9354.

Contact Information

Primary practice address
6200 Excelsior Blvd Ste 203 St Louis Park MN 55416-2734
Phone: (952) 548-9354
Fax: (952) 925-3264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 304119 Minnesota

Profile Details

NPI number 1407210784
LBN Legal business name Bonilla Bermudez, Daniela Alejandra
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated Apr 12th, 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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