Provider Demographics
NPI:1255044335
Name:BIEL, PETER CHUOL
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:CHUOL
Last Name:BIEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 20TH ST NE
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-1408
Mailing Address - Country:US
Mailing Address - Phone:531-484-7142
Mailing Address - Fax:
Practice Address - Street 1:530 N RIVERFRONT DR # 340
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3449
Practice Address - Country:US
Practice Address - Phone:531-484-7142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN884411123OtherFEIN