Crandall, Wade Rollin

Crandall, Wade Rollin is an sole proprietor health care provider with primary practice located at 3833 Coon Rapids Blvd Nw Ste 120 , Coon Rapids MN 55433-2599. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Crandall, Wade Rollin can be contacted via phone (763) 767-3350.

Contact Information

Primary practice address
3833 Coon Rapids Blvd Nw Ste 120 Coon Rapids MN 55433-2599
Phone: (763) 767-3350
Fax: (763) 767-0912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CC00541 Minnesota

Profile Details

NPI number 1649510587
LBN Legal business name Crandall, Wade Rollin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2013
Last updated Feb 7th, 2019 - about 7 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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