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
Phone: (612) 267-5784
Fax: (612) 329-4320
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972120434 | NPPES |
| Minnesota | Other | 305637 | BBHT (BOARD OF BEHAVIORAL HEALTH AND THERAPY |
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