Barstad, Trent A
Barstad, Trent A is an individual health care provider with primary practice located at 1720 Highway 59 S , Thief River Falls MN 56701-4331. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Barstad, Trent A can be contacted via phone (218) 683-2676.Contact Information
Primary practice address
1720 Highway 59 S
Thief River Falls MN 56701-4331
Phone: (218) 683-2676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP5310 | Minnesota |
Profile Details
| NPI number | 1942370671 |
|---|---|
| LBN Legal business name | Barstad, Trent A |
| Credentials | PHD, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | May 8th, 2014 - about 12 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 | 1942370671 | NPPES |
| North Dakota | MEDICAID | 18630 |
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