Van Den Broeke, Samuel Duane

Van Den Broeke, Samuel Duane is an individual health care provider with primary practice located at 1701 Curve Crest Blvd W Ste 104 , Stillwater MN 55082-6181. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Van Den Broeke, Samuel Duane can be contacted via phone (651) 342-1883.

Contact Information

Primary practice address
1701 Curve Crest Blvd W Ste 104 Stillwater MN 55082-6181
Phone: (651) 342-1883
Fax: (651) 342-2231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1104523406
LBN Legal business name Van Den Broeke, Samuel Duane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2023
Last updated Feb 8th, 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.

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