Vickerman, Leo Fred

Vickerman, Leo Fred is an individual health care provider with primary practice located at 1132 Central Ave Ne , Minneapolis MN 55413-1512. 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. Vickerman, Leo Fred can be contacted via phone (612) 236-1700.

Contact Information

Primary practice address
1132 Central Ave Ne Minneapolis MN 55413-1512
Phone: (612) 236-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302510 Minnesota

Profile Details

NPI number 1548490048
LBN Legal business name Vickerman, Leo Fred
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Jul 17th, 2009 - about 16 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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