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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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