Bredow, Timothy Steven
Bredow, Timothy Steven is an individual health care provider with primary practice located at 10081 Dogwood St Nw Suite 100, Coon Rapids MN 55448-5281. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bredow, Timothy Steven can be contacted via phone (763) 783-3722.Contact Information
Primary practice address
10081 Dogwood St Nw Suite 100
Coon Rapids MN 55448-5281
Phone: (763) 783-3722
Fax: (763) 783-7944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F0809228 | Minnesota |
Profile Details
| NPI number | 1881920346 |
|---|---|
| LBN Legal business name | Bredow, Timothy Steven |
| Credentials | RN, PHD,, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2009 |
| Last updated | Oct 13th, 2011 - about 15 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 | 1881920346 | NPPES |
| Minnesota | Other | F0809228 | NURSE PRACTITIONER CERTIFICATION |
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