Brue, Eldon James
Brue, Eldon James is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Brue, Eldon James can be contacted via phone (651) 628-9566.Contact Information
Primary practice address
1900 Silver Lake Rd Nw Suite 110
New Brighton MN 55112-1786
Phone: (651) 628-9566
Fax: (651) 628-0411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0642 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2327 | Minnesota |
Profile Details
| NPI number | 1154354926 |
|---|---|
| LBN Legal business name | Brue, Eldon James |
| Credentials | PH.D., LP, LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 27th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154354926 | NPPES |
| Minnesota | MEDICAID | 090547000 |
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