Brustad, Timothy Richard

Brustad, Timothy Richard is an sole proprietor health care provider with primary practice located at 626 Continental Dr , New Brighton MN 55112-7641. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Brustad, Timothy Richard can be contacted via phone (651) 341-0618.

Contact Information

Primary practice address
626 Continental Dr New Brighton MN 55112-7641
Phone: (651) 341-0618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300677 Minnesota

Profile Details

NPI number 1700953353
LBN Legal business name Brustad, Timothy Richard
Credentials L.A.D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 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.

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