Putz, Brian William

Putz, Brian William is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Ste 455 , Brooklyn Center MN 55430-2178. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Putz, Brian William can be contacted via phone (763) 503-8560.

Contact Information

Primary practice address
6200 Shingle Creek Pkwy Ste 455 Brooklyn Center MN 55430-2178
Phone: (763) 503-8560
Fax: (763) 503-8563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3322 Minnesota

Profile Details

NPI number 1720155823
LBN Legal business name Putz, Brian William
Credentials MA, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 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 1720155823 NPPES
Minnesota Other 657T1PU BCBS MN
Minnesota Other HP31888 BCBS MN
Minnesota Other 1021025 BCBS MN
Minnesota Other 62-50561 BCBS MN
Minnesota Other 990991031581 BCBS MN
Minnesota Other 141966 BCBS MN

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