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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497712343 NPPES
Minnesota Other 62-20337 UNITED BEHAVIOR HEALTH
Minnesota Other 02188BR UNITED BEHAVIOR HEALTH

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