Ackerman, Wendy Michelle

Ackerman, Wendy Michelle is an individual health care provider with primary practice located at 151 S 4Th St Suite 401, Grand Forks ND 58201-4715. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ackerman, Wendy Michelle can be contacted via phone (701) 787-4256.

Contact Information

Primary practice address
151 S 4Th St Suite 401 Grand Forks ND 58201-4715
Phone: (701) 787-4256
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 3428 North Dakota

Profile Details

NPI number 1235336926
LBN Legal business name Ackerman, Wendy Michelle
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Jul 9th, 2007 - about 17 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 1235336926 NPPES
North Dakota MEDICAID 54519
North Dakota MEDICAID 79201

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