Weibye, Edward Evan

Weibye, Edward Evan is an sole proprietor health care provider with primary practice located at 525 Portland Ave , Minneapolis MN 55415-1533. 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. Weibye, Edward Evan can be contacted via phone (612) 267-5784.

Contact Information

Primary practice address
525 Portland Ave Minneapolis MN 55415-1533
Fax: (612) 329-4320
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305637 Minnesota

Profile Details

NPI number 1972120434
LBN Legal business name Weibye, Edward Evan
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2020
Last updated Jul 1st, 2020 - about 5 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 1972120434 NPPES
Minnesota Other 305637 BBHT (BOARD OF BEHAVIORAL HEALTH AND THERAPY

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