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
Phone: (218) 736-6987
Fax: (218) 736-6980
Website:
Health care specialties
Specialty | Code | License # | 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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