Depies, Charles Gerald

Depies, Charles Gerald is an individual health care provider with primary practice located at 2220 Riverside Ave S Mail Stop 31700A, Minneapolis MN 55454-1321. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Depies, Charles Gerald can be contacted via phone (612) 371-1600.

Contact Information

Primary practice address
2220 Riverside Ave S Mail Stop 31700A Minneapolis MN 55454-1321
Phone: (612) 371-1600
Fax: (612) 371-1732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2960 Minnesota

Profile Details

NPI number 1457325136
LBN Legal business name Depies, Charles Gerald
Credentials PSYD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 11th, 2021 - about 4 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 1457325136 NPPES
Minnesota MEDICAID 190217200

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