Drew, Douglas Alan
Drew, Douglas Alan is an sole proprietor health care provider with primary practice located at 10190 Baltimore St Ne Suite 110, Blaine MN 55449-5056. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Drew, Douglas Alan can be contacted via phone (763) 755-7612.Contact Information
Primary practice address
10190 Baltimore St Ne Suite 110
Blaine MN 55449-5056
Phone: (763) 755-7612
Fax: (763) 775-2048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7998 | Minnesota |
Profile Details
| NPI number | 1376534214 |
|---|---|
| LBN Legal business name | Drew, Douglas Alan |
| Credentials | MA, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| 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 | 1376534214 | NPPES |
| Minnesota | MEDICAID | 141257400 |
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