Carita R Shawchuck Phd Pc

LBN: Carita R Shawchuck Phd Pc
Carita R Shawchuck Phd Pc is an health care organization with primary practice located at 1351 Page Dr S Suite 105, Fargo ND 58103-3502. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Carita R Shawchuck Phd Pc can be contacted via phone (701) 893-3419, or through Shawchuck, Carita Renee via phone (701) 893-3419.

Contact Information

Primary practice address
1351 Page Dr S Suite 105 Fargo ND 58103-3502
Phone: (701) 893-3419
Fax: (701) 356-8801
Website:
Map and Directions
Authorized official contact:
Name: Shawchuck, Carita Renee PH.D.
Phone: (701) 893-3419

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1871650267
LBN Legal business name Carita R Shawchuck Phd Pc
DBA Doing business as
Authorized official Shawchuck, Carita Renee PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871650267 NPPES
North Dakota Other 06753001 ND BLUE SHIELD
North Dakota Other 86G13SH ND BLUE SHIELD

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