Mcbeath, Bruce G

Mcbeath, Bruce G is an sole proprietor health care provider with primary practice located at 1360 Energy Park Dr , Saint Paul MN 55108-5276. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Adult Development & Aging is his primary health care specialty. Mcbeath, Bruce G can be contacted via phone (651) 644-2267.

Contact Information

Primary practice address
1360 Energy Park Dr Saint Paul MN 55108-5276
Phone: (651) 644-2267
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X LP1411 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1411 Minnesota
Behavioral Health & Social Service Providers / Family 103TF0000X LP1411 Minnesota

Profile Details

NPI number 1639256043
LBN Legal business name Mcbeath, Bruce G
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 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 1639256043 NPPES
Minnesota Other 27237MC BLUE CROSSBLUE SHIELD MN

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