Grossman, Audrey
Grossman, Audrey is an individual health care provider with primary practice located at 13100 Wayzata Blvd Ste 200 , Minnetonka MN 55305-1810. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Grossman, Audrey can be contacted via phone (952) 206-2040.Contact Information
Primary practice address
13100 Wayzata Blvd Ste 200
Minnetonka MN 55305-1810
Phone: (952) 206-2040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301889 | Minnesota |
Profile Details
| NPI number | 1104476290 |
|---|---|
| LBN Legal business name | Grossman, Audrey |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2019 |
| Last updated | Sep 19th, 2019 - about 5 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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