Ibrahim, Khadra

Ibrahim, Khadra is an sole proprietor health care provider with primary practice located at 2025 28Th Ave Nw , New Brighton MN 55112-5366. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Ibrahim, Khadra can be contacted via phone (612) 836-7788.

Contact Information

Primary practice address
2025 28Th Ave Nw New Brighton MN 55112-5366
Phone: (612) 836-7788
Fax: (651) 203-7756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1750163838
LBN Legal business name Ibrahim, Khadra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2023
Last updated Oct 16th, 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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