Nelson, Brian Vernon

Nelson, Brian Vernon is an individual health care provider with primary practice located at 3305 Casco Cir , Wayzata MN 55391-9718. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Nelson, Brian Vernon can be contacted via phone (952) 471-7211.

Contact Information

Primary practice address
3305 Casco Cir Wayzata MN 55391-9718
Phone: (952) 471-7211
Fax: (952) 471-7211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X LP1543 Minnesota

Profile Details

NPI number 1003844929
LBN Legal business name Nelson, Brian Vernon
Credentials LP, LSP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Aug 7th, 2008 - 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 1003844929 NPPES
Minnesota MEDICAID 224750000

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