Robinson, Glen Brian

Robinson, Glen Brian is an individual health care provider with primary practice located at 13100 Wayzata Blvd Ste 200 , Minnetonka MN 55305-1810. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Robinson, Glen Brian can be contacted via phone (952) 206-2040.

Contact Information

Primary practice address
13100 Wayzata Blvd Ste 200 Minnetonka MN 55305-1810
Fax: (952) 206-2041
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302259 Minnesota

Profile Details

NPI number 1306023262
LBN Legal business name Robinson, Glen Brian
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Feb 8th, 2022 - about 2 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 1306023262 NPPES
Minnesota Other 302259 LADC

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