Evjen, Lori Mae
Evjen, Lori Mae is an individual health care provider with primary practice located at 520 3Rd St Nw , Jamestown ND 58401-2968. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Evjen, Lori Mae can be contacted via phone (701) 253-6324.Contact Information
Primary practice address
520 3Rd St Nw
Jamestown ND 58401-2968
Phone: (701) 253-6324
Fax: (701) 253-6400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1490 | North Dakota |
Profile Details
| NPI number | 1558475061 |
|---|---|
| LBN Legal business name | Evjen, Lori Mae |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Sep 23rd, 2008 - about 17 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 | 1558475061 | NPPES |
| North Dakota | Other | 022587 | BCBS PROVIDER NUMBER |
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