Edevold, Shelby

Edevold, Shelby is an individual health care provider with primary practice located at 11660 Round Lake Blvd Nw , Coon Rapids MN 55433-2638. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Edevold, Shelby can be contacted via phone (763) 767-3350.

Contact Information

Primary practice address
11660 Round Lake Blvd Nw Coon Rapids MN 55433-2638
Phone: (763) 767-3350
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1609498666
LBN Legal business name Edevold, Shelby
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2020
Last updated May 13th, 2020 - 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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