Corder, Breanna

Corder, Breanna is an sole proprietor health care provider with primary practice located at 6300 W Old Shakopee Rd Ste 102 , Bloomington MN 55438-2684. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Corder, Breanna can be contacted via phone (612) 509-6671.

Contact Information

Primary practice address
6300 W Old Shakopee Rd Ste 102 Bloomington MN 55438-2684
Phone: (612) 509-6671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1447848718
LBN Legal business name Corder, Breanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2021
Last updated Jan 4th, 2021 - about 5 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 1447848718 NPPES
Minnesota Other X234-247-257-109 DRIVERS LICENSE NUMBER

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