Brekke, Dennis M.

Brekke, Dennis M. is an individual health care provider with primary practice located at 2021 E Hennepin Ave Suite 411, Minneapolis MN 55413-1896. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brekke, Dennis M. can be contacted via phone (612) 991-1769.

Contact Information

Primary practice address
2021 E Hennepin Ave Suite 411 Minneapolis MN 55413-1896
Phone: (612) 991-1769
Fax: (612) 395-5585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1738 Minnesota

Profile Details

NPI number 1508962960
LBN Legal business name Brekke, Dennis M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Dec 19th, 2012 - about 14 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 1508962960 NPPES
Minnesota MEDICAID 546347500
Minnesota Other 01992BR
Minnesota Other 1H217BR

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