Nelson, Bruce Allen

Nelson, Bruce Allen is an sole proprietor health care provider with primary practice located at 1500 Mcandrews Rd W Ste 240, Burnsville MN 55337-4432. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nelson, Bruce Allen can be contacted via phone (952) 892-8436.

Contact Information

Primary practice address
1500 Mcandrews Rd W Ste 240 Burnsville MN 55337-4432
Phone: (952) 892-8436
Fax: (952) 892-8451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3598 Minnesota

Profile Details

NPI number 1609951946
LBN Legal business name Nelson, Bruce Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 19 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 1609951946 NPPES
Minnesota MEDICAID 5060583-00

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