Azure, Jeri Ann

Azure, Jeri Ann is an sole proprietor health care provider with primary practice located at 9775 Bia Road 9 Fl 2 , Belcourt ND 58316-2807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Azure, Jeri Ann can be contacted via phone (701) 477-0483.

Contact Information

Primary practice address
9775 Bia Road 9 Fl 2 Belcourt ND 58316-2807
Phone: (701) 477-0483
Fax: (701) 477-0488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 486 North Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 486 North Dakota

Profile Details

NPI number 1427377712
LBN Legal business name Azure, Jeri Ann
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2010
Last updated Feb 28th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427377712 NPPES
North Dakota MEDICAID 01063
North Dakota Other 350063

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