Gangnon, Bradley A

Gangnon, Bradley A is an individual health care provider with primary practice located at 1516 W Lake St # 205 , Minneapolis MN 55408-2554. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gangnon, Bradley A can be contacted via phone (612) 297-1804.

Contact Information

Primary practice address
1516 W Lake St # 205 Minneapolis MN 55408-2554
Phone: (612) 297-1804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305379 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 10053940

Profile Details

NPI number 1225715097
LBN Legal business name Gangnon, Bradley A
Credentials LADC, ADCR-MN CPRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2023
Last updated Jul 3rd, 2023 - about 3 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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