Nevins, Bradley G

Nevins, Bradley G is an individual health care provider with primary practice located at 204 S Adams St , Saint Croix Falls WI 54024-9449. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Nevins, Bradley G can be contacted via phone (715) 483-3221.

Contact Information

Primary practice address
204 S Adams St Saint Croix Falls WI 54024-9449
Phone: (715) 483-3221
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1436-057 Wisconsin

Profile Details

NPI number 1336248137
LBN Legal business name Nevins, Bradley G
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 19 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 1336248137 NPPES
Minnesota Other 31G80NE BLUE CROSS FACILITY
Minnesota MEDICAID 165875100 BLUE CROSS FACILITY
Minnesota Other NA9031023578 BLUE CROSS FACILITY
Minnesota MEDICAID 39087700 BLUE CROSS FACILITY
Minnesota Other 86D52NE BLUE CROSS FACILITY
Minnesota Other HP30609 BLUE CROSS FACILITY
Minnesota Other 620006571 BLUE CROSS FACILITY

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