Pieper, Brady
Pieper, Brady is an individual health care provider with primary practice located at 266 Henrietta Ave N , Park Rapids MN 56470-2155. 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. Pieper, Brady can be contacted via phone (218) 252-2785.Contact Information
Primary practice address
266 Henrietta Ave N
Park Rapids MN 56470-2155
Phone: (218) 252-2785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304657 | Minnesota |
Profile Details
| NPI number | 1164950796 |
|---|---|
| LBN Legal business name | Pieper, Brady |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2017 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1164950796 | NPPES |
| Minnesota | Other | 61604 | PRIMEWEST HEALTH PLAN |
| Minnesota | MEDICAID | MNMCD | PRIMEWEST HEALTH PLAN |
| Minnesota | Other | SB720 | PRIMEWEST HEALTH PLAN |
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