Spading, Kevin

Spading, Kevin is an individual health care provider with primary practice located at 8669 Eagle Point Blvd , Lake Elmo MN 55042-8628. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Spading, Kevin can be contacted via phone (651) 379-0444.

Contact Information

Primary practice address
8669 Eagle Point Blvd Lake Elmo MN 55042-8628
Phone: (651) 379-0444
Fax: (651) 379-0434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300537 Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12613 Minnesota

Profile Details

NPI number 1972592954
LBN Legal business name Spading, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 8th, 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 1972592954 NPPES
Minnesota Other 539T6SP BCBS ID#
Minnesota Other 62-57490 BCBS ID#
Minnesota Other HP42060 BCBS ID#

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