Churchill, David Diederich

Churchill, David Diederich is an sole proprietor health care provider with primary practice located at 980 S Tower Rd , Fergus Falls MN 56537-5505. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Churchill, David Diederich can be contacted via phone (218) 736-6987.

Contact Information

Primary practice address
980 S Tower Rd Fergus Falls MN 56537-5505
Fax: (218) 736-6980
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3351 Minnesota

Profile Details

NPI number 1588113849
LBN Legal business name Churchill, David Diederich
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2016
Last updated Feb 21st, 2019 - about 5 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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