Bradley J Benz in St Cloud - Addiction (substance Use Disorder)

Bradley J Benz - NPI 1639220502

Bradley J Benz is a Addiction (substance Use Disorder) in St Cloud, Minnesota. Bradley J Benz practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Bradley J Benz is 1639220502. The last update date is 2012-12-17.

Bradley J Benz's current location address is 1321 13th St N, St Cloud, Minnesota. You can contact this provider via phone number 3202525010 and fax number 3202031855. The mailing address for Bradley J Benz is 1321 13th St N, St Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley J Benz
Address 1321 13th St N, St Cloud, Minnesota
Phone Number 3202525010
Fax Number 3202031855
Sole Proprietor N
Credentials LADC

NPI Number Detail

NPI Number 1639220502
Provider Enumeration Date 2007-01-16
Last Updated Date 2012-12-17

Provider Mailing Address Detail

Address 1321 13th St N
City St Cloud
State Minnesota (MN)
Post Code 563032614
Phone Number 3202525010
Fax Number 3202031855

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Bradley J Benz

What is the unique 10-digit identification code issued to Bradley J Benz by the Centers for Medicare & Medicaid Services?

The Bradley J Benz has been assigned the NPI (National Provider Identifier) 1639220502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Bradley J Benz is physically located?

The Bradley J Benz is physically situated at the following address: 1321 13Th St N, St Cloud, MN, 563032614.

What is Bradley J Benz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bradley J Benz is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639220502 to Bradley J Benz?

The Bradley J Benz received its 1639220502 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.

As of what date were the details related to Bradley J Benz most recently updated or revised?

The information pertaining to Bradley J Benz, including its address, specialty, and other relevant details, was last updated or revised on 2012-12-17.

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