Brinza, Sally Rose
Brinza, Sally Rose is an individual health care provider with primary practice located at 7225 Forestview Ln N , Maple Grove MN 55369. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brinza, Sally Rose can be contacted via phone (612) 978-5058.Contact Information
Primary practice address
7225 Forestview Ln N
Maple Grove MN 55369
Phone: (612) 978-5058
Fax: (763) 201-1095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP2586 | Minnesota |
Profile Details
| NPI number | 1023119914 |
|---|---|
| LBN Legal business name | Brinza, Sally Rose |
| Credentials | PHD LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1023119914 | NPPES |
| Minnesota | Other | 6420206 | MN CARE |
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