Kidney, Brietta Marlene

Kidney, Brietta Marlene is an individual health care provider with primary practice located at 1015 S Broadway Suite 18, Minot ND 58701-4667. 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. Kidney, Brietta Marlene can be contacted via phone (701) 857-8500.

Contact Information

Primary practice address
1015 S Broadway Suite 18 Minot ND 58701-4667
Phone: (701) 857-8500
Fax: (701) 857-8555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1471 North Dakota

Profile Details

NPI number 1356537831
LBN Legal business name Kidney, Brietta Marlene
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Nov 9th, 2007 - about 18 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 1356537831 NPPES
North Dakota Other 029168 BLUE CROSS BLUE SHIELD
North Dakota MEDICAID 054517 BLUE CROSS BLUE SHIELD

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