Agard, Carolann
Agard, Carolann is an individual health care provider with primary practice located at 100 Standing Rock Ave , Fort Yates ND 58538. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Agard, Carolann can be contacted via phone (701) 223-2417.Contact Information
Primary practice address
100 Standing Rock Ave
Fort Yates ND 58538
Phone: (701) 223-2417
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1760075758 |
---|---|
LBN Legal business name | Agard, Carolann |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2021 |
Last updated | Apr 15th, 2021 - about 3 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 | 1760075758 | NPPES |
North Dakota | MEDICAID | 1481548 |
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