Black, Nancy Duffey
Black, Nancy Duffey is an sole proprietor health care provider with primary practice located at 2000 Blackberry Lane , Wayzata MN 55391-2006. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Nancy Duffey can be contacted via phone (763) 443-3348.Contact Information
Primary practice address
2000 Blackberry Lane
Wayzata MN 55391-2006
Phone: (763) 443-3348
Fax: (888) 244-9928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 06510 | Minnesota |
Profile Details
| NPI number | 1942449418 |
|---|---|
| LBN Legal business name | Black, Nancy Duffey |
| Credentials | MS, LICSW, CEAP, SAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2009 |
| Last updated | Jul 15th, 2016 - about 8 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 | 1942449418 | NPPES |
| Minnesota | MEDICAID | 1427293851 |
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