Etzold, Jenna
Etzold, Jenna is an individual health care provider with primary practice located at 900 E Broadway Ave , Bismarck ND 58501-4520. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Etzold, Jenna can be contacted via phone (701) 530-7300.Contact Information
Primary practice address
900 E Broadway Ave
Bismarck ND 58501-4520
Phone: (701) 530-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 577 | North Dakota |
Profile Details
| NPI number | 1538707898 |
|---|---|
| LBN Legal business name | Etzold, Jenna |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2019 |
| Last updated | Dec 18th, 2019 - about 6 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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