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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780757880 NPPES
Minnesota Other 6298710 MEDICA HEALTHPLAN

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