Chamberlin, Richard Wade

Chamberlin, Richard Wade is an individual health care provider with primary practice located at 12 Bridge Sq Ste 207 , Anoka MN 55303. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Chamberlin, Richard Wade can be contacted via phone (952) 693-8220.

Contact Information

Primary practice address
12 Bridge Sq Ste 207 Anoka MN 55303
Phone: (952) 693-8220
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1313 Minnesota

Profile Details

NPI number 1003874009
LBN Legal business name Chamberlin, Richard Wade
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Aug 22nd, 2018 - about 8 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 1003874009 NPPES
Minnesota MEDICAID 817981600

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