Hirdler, Chris

Hirdler, Chris is an individual health care provider with primary practice located at 1404 Central Ave Ne , Minneapolis MN 55413-1517. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hirdler, Chris can be contacted via phone (612) 286-0946.

Contact Information

Primary practice address
1404 Central Ave Ne Minneapolis MN 55413-1517
Fax: (612) 789-8087
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302659 Minnesota

Profile Details

NPI number 1174130736
LBN Legal business name Hirdler, Chris
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2020
Last updated Sep 28th, 2020 - about 6 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 1174130736 NPPES
Minnesota MEDICAID 123

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