Bahnsen, Jordan

Bahnsen, Jordan is an individual health care provider with primary practice located at 921 2Nd Ave S , Fargo ND 58103-1705. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Bahnsen, Jordan can be contacted via phone (701) 361-9922.

Contact Information

Primary practice address
921 2Nd Ave S Fargo ND 58103-1705
Phone: (701) 361-9922
Fax: (701) 829-7140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 00000 North Dakota
Other Service Providers / Peer Specialist 175T00000X 00000 North Dakota

Profile Details

NPI number 1699495887
LBN Legal business name Bahnsen, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2022
Last updated Aug 30th, 2022 - about 2 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 1699495887 NPPES
North Dakota MEDICAID 171M00000X
North Dakota MEDICAID 175T00000X

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