Boomgaarden, Larry W

Boomgaarden, Larry W is an individual health care provider with primary practice located at 1000 8Th St Se , Detroit Lakes MN 56501-2819. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Boomgaarden, Larry W can be contacted via phone (218) 847-0696.

Contact Information

Primary practice address
1000 8Th St Se Detroit Lakes MN 56501-2819
Phone: (218) 847-0696
Fax: (218) 847-4198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1295964518
LBN Legal business name Boomgaarden, Larry W
Credentials B.A., LAC-T
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated May 2nd, 2018 - about 6 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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