Bjelland, Richard

Bjelland, Richard is an sole proprietor health care provider with primary practice located at 206 Deer Park Ave. , Babylon NY 11704-1920. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bjelland, Richard can be contacted via phone (631) 472-0036.

Contact Information

Primary practice address
206 Deer Park Ave. Babylon NY 11704-1920
Phone: (631) 472-0036
Fax: (631) 472-0036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R029747 New York

Profile Details

NPI number 1922195908
LBN Legal business name Bjelland, Richard
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Jun 4th, 2015 - about 10 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 1922195908 NPPES
New York Other 45952 UNITED BEHAVIORAL HEALTH
New York Other 0018541 UNITED BEHAVIORAL HEALTH
New York MEDICAID 02128398 UNITED BEHAVIORAL HEALTH
New York Other 0018541 UNITED BEHAVIORAL HEALTH

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