Beamon, Bernard
Beamon, Bernard is an sole proprietor health care provider with primary practice located at 6120 Earle Brown Drive Ste 520 , Brooklyn Center MN 55430. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Beamon, Bernard can be contacted via phone (763) 531-0566.Contact Information
Primary practice address
6120 Earle Brown Drive Ste 520
Brooklyn Center MN 55430
Phone: (763) 531-0566
Fax: (763) 531-0602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 195 | Minnesota |
Profile Details
| NPI number | 1730265794 |
|---|---|
| LBN Legal business name | Beamon, Bernard |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | May 15th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730265794 | NPPES |
| Minnesota | MEDICAID | MNMAG |
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