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:
Health care specialties
| Specialty | Code | License # | 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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