Bruley, Charlene P.
Bruley, Charlene P. is an sole proprietor health care provider with primary practice located at 1705 4Th Ave Nw , Minot ND 58703-2912. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bruley, Charlene P. can be contacted via phone (701) 839-0474.Contact Information
Primary practice address
1705 4Th Ave Nw
Minot ND 58703-2912
Phone: (701) 839-0474
Fax: (701) 839-0713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3764 | North Dakota |
Profile Details
| NPI number | 1346325198 |
|---|---|
| LBN Legal business name | Bruley, Charlene P. |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346325198 | NPPES |
| North Dakota | MEDICAID | 19159 |
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