Didrickson, Bendick J
Didrickson, Bendick J is an individual health care provider with primary practice located at 4300 University Dr , Juneau AK 99801-8649. 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. Didrickson, Bendick J can be contacted via phone (907) 364-4445.Contact Information
Primary practice address
4300 University Dr
Juneau AK 99801-8649
Phone: (907) 364-4445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2180 | Alaska |
Profile Details
| NPI number | 1568791671 |
|---|---|
| LBN Legal business name | Didrickson, Bendick J |
| Credentials | CSFW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2009 |
| Last updated | Dec 18th, 2009 - about 16 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 | 1568791671 | NPPES |
| Alaska | Other | 2180 | STATE LICENSE |
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