Kern, Shawn
Kern, Shawn is an sole proprietor health care provider with primary practice located at 7308 64Th Ave N , Brooklyn Park MN 55428-2317. 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. Kern, Shawn can be contacted via phone (612) 710-6510.Contact Information
Primary practice address
7308 64Th Ave N
Brooklyn Park MN 55428-2317
Phone: (612) 710-6510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 306447 | Minnesota |
Profile Details
| NPI number | 1922714369 |
|---|---|
| LBN Legal business name | Kern, Shawn |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2023 |
| Last updated | Jan 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922714369 | NPPES |
| Minnesota | Other | 306447 | BBHS |
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