Bredow, Timothy Steven

Bredow, Timothy Steven is an individual health care provider with primary practice located at 10081 Dogwood St Nw Suite 100, Coon Rapids MN 55448-5281. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bredow, Timothy Steven can be contacted via phone (763) 783-3722.

Contact Information

Primary practice address
10081 Dogwood St Nw Suite 100 Coon Rapids MN 55448-5281
Phone: (763) 783-3722
Fax: (763) 783-7944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0809228 Minnesota

Profile Details

NPI number 1881920346
LBN Legal business name Bredow, Timothy Steven
Credentials RN, PHD,, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2009
Last updated Oct 13th, 2011 - about 14 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 1881920346 NPPES
Minnesota Other F0809228 NURSE PRACTITIONER CERTIFICATION

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