Abdikadir, Ilyas A

Abdikadir, Ilyas A is an individual health care provider with primary practice located at 1751 County Road B W Ste 101 , Roseville MN 55113-4037. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is his primary health care specialty. Abdikadir, Ilyas A can be contacted via phone (612) 615-6848.

Contact Information

Primary practice address
1751 County Road B W Ste 101 Roseville MN 55113-4037
Phone: (612) 615-6848
Fax: (763) 201-7979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2740 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 2740 Minnesota
Nursing Service Related Providers / Home Health Aide 374U00000X 2740 Minnesota

Profile Details

NPI number 1063729747
LBN Legal business name Abdikadir, Ilyas A
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2010
Last updated Apr 24th, 2025 - about last year

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 1063729747 NPPES
Minnesota Other 922503090 PSYCHOTHERAPY
Minnesota Other 843569697 PSYCHOTHERAPY

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