Brose, John

Brose, John is an individual health care provider with primary practice located at 3100 W Lake St Suite 210, Minneapolis MN 55416-4527. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Brose, John can be contacted via phone (612) 925-6033.

Contact Information

Primary practice address
3100 W Lake St Suite 210 Minneapolis MN 55416-4527
Phone: (612) 925-6033
Fax: (612) 925-8496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300760 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1349 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 719 Minnesota

Profile Details

NPI number 1871652263
LBN Legal business name Brose, John
Credentials LP, LMFT, ADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871652263 NPPES
Minnesota Other 302943 USA NETWORK
Minnesota Other 6120000 USA NETWORK
Minnesota Other HP19953 USA NETWORK
Minnesota Other 10183C154 USA NETWORK
Minnesota Other 94374 USA NETWORK
Minnesota Other 68740BR USA NETWORK

Popular Providers