Duval, Brooke Louise
Duval, Brooke Louise is an sole proprietor health care provider with primary practice located at 212 W Caledonia Avenue , Hillsboro ND 58045-0190. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Duval, Brooke Louise can be contacted via phone (701) 636-5220.Contact Information
Primary practice address
212 W Caledonia Avenue
Hillsboro ND 58045-0190
Phone: (701) 636-5220
Fax: (701) 636-5221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | North Dakota |
Profile Details
| NPI number | 1689171274 |
|---|---|
| LBN Legal business name | Duval, Brooke Louise |
| Credentials | B.S. ECSE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2018 |
| Last updated | Apr 8th, 2024 - about last year |
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 | 1689171274 | NPPES |
| North Dakota | MEDICAID | 1467934 |
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