Devries, Dean Edward
Devries, Dean Edward is an sole proprietor health care provider with primary practice located at 1206 W 96Th St , Bloomington MN 55431-2606. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Devries, Dean Edward can be contacted via phone (952) 884-4882.Contact Information
Primary practice address
1206 W 96Th St
Bloomington MN 55431-2606
Phone: (952) 884-4882
Fax: (952) 884-0284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP4067 | Minnesota |
Profile Details
| NPI number | 1780757880 |
|---|---|
| LBN Legal business name | Devries, Dean Edward |
| Credentials | MS LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 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 | 1780757880 | NPPES |
| Minnesota | Other | 6298710 | MEDICA HEALTHPLAN |
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