Braun, Jeremy D

Braun, Jeremy D is an individual health care provider with primary practice located at 8320 City Centre Dr Suite G, Woodbury MN 55125-3382. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Braun, Jeremy D can be contacted via phone (651) 738-9888.

Contact Information

Primary practice address
8320 City Centre Dr Suite G Woodbury MN 55125-3382
Fax: (651) 738-9889
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7323 Minnesota

Profile Details

NPI number 1164521704
LBN Legal business name Braun, Jeremy D
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164521704 NPPES
Minnesota Other 1653423 AMERICA'S PPO
Minnesota Other 4600602 AMERICA'S PPO
Minnesota MEDICAID 42565100 AMERICA'S PPO
Minnesota Other HP35637 AMERICA'S PPO
Minnesota Other 093M4BR AMERICA'S PPO

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