Azeredo, Fabio Andre

Azeredo, Fabio Andre is an sole proprietor health care provider with primary practice located at 250 Carlson Pkwy Apt 202 , Minnetonka MN 55305-5320. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalysis, which is considered as his primary health care specialty. Azeredo, Fabio Andre can be contacted via phone (612) 704-3339.

Contact Information

Primary practice address
250 Carlson Pkwy Apt 202 Minnetonka MN 55305-5320
Phone: (612) 704-3339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X

Profile Details

NPI number 1972258630
LBN Legal business name Azeredo, Fabio Andre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2022
Last updated Feb 21st, 2022 - about 4 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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