Brunner, Carolyn Evelyn
Brunner, Carolyn Evelyn is an individual health care provider with primary practice located at 3009 Holmes Ave , Minneapolis MN 55408-2628. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brunner, Carolyn Evelyn can be contacted via phone (612) 871-8998.Contact Information
Primary practice address
3009 Holmes Ave
Minneapolis MN 55408-2628
Phone: (612) 871-8998
Fax: (612) 827-8916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 01345 | Minnesota |
Profile Details
| NPI number | 1497712343 |
|---|---|
| LBN Legal business name | Brunner, Carolyn Evelyn |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1497712343 | NPPES |
| Minnesota | Other | 62-20337 | UNITED BEHAVIOR HEALTH |
| Minnesota | Other | 02188BR | UNITED BEHAVIOR HEALTH |
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