Bradmiller, Mary A
Bradmiller, Mary A is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Bradmiller, Mary A can be contacted via phone (612) 873-2300.Contact Information
Primary practice address
701 Park Ave
Minneapolis MN 55415-1623
Phone: (612) 873-2300
Fax: (612) 904-4261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP4152 | Minnesota |
Profile Details
| NPI number | 1962421537 |
|---|---|
| LBN Legal business name | Bradmiller, Mary A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 10th, 2020 - about 6 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 | 1962421537 | NPPES |
| Minnesota | Other | 61-56228 | UNITED BEHAVIORAL HEALTH |
| Minnesota | Other | 152297 | UNITED BEHAVIORAL HEALTH |
| Minnesota | MEDICAID | 106693500 | UNITED BEHAVIORAL HEALTH |
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