Branson, Diane

Branson, Diane is an individual health care provider with primary practice located at 13603 80Th Cir N , Maple Grove MN 55369-8961. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Branson, Diane can be contacted via phone (763) 274-2120.

Contact Information

Primary practice address
13603 80Th Cir N Maple Grove MN 55369-8961
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC02178 Minnesota

Profile Details

NPI number 1336782408
LBN Legal business name Branson, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2019
Last updated Oct 30th, 2019 - about 5 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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