Archuletta, Holli
Archuletta, Holli is an individual health care provider with primary practice located at 1463 I94 Business Loop E , Dickinson ND 58601-6434. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Archuletta, Holli can be contacted via phone (701) 227-7500.Contact Information
Primary practice address
1463 I94 Business Loop E
Dickinson ND 58601-6434
Phone: (701) 227-7500
Fax: (701) 227-7575
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 86731516327 | North Dakota |
Profile Details
NPI number | 1265829675 |
---|---|
LBN Legal business name | Archuletta, Holli |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2015 |
Last updated | Nov 6th, 2023 - about last year |
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 | 1265829675 | NPPES |
Other | 14504853 | CAQH | |
MEDICAID | 1472298 | CAQH |
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