Ewoniuk-Kuzel, Judith A

Ewoniuk-Kuzel, Judith A is an individual health care provider with primary practice located at 151 South 4Th Street Suite 401, Grand Forks ND 58201-4735. 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. Ewoniuk-Kuzel, Judith A can be contacted via phone (701) 795-3000.

Contact Information

Primary practice address
151 South 4Th Street Suite 401 Grand Forks ND 58201-4735
Phone: (701) 795-3000
Fax: (701) 795-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1256 North Dakota

Profile Details

NPI number 1669580940
LBN Legal business name Ewoniuk-Kuzel, Judith A
Credentials BSSW LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669580940 NPPES
North Dakota MEDICAID 054519
North Dakota Other 9G414KU
North Dakota Other 009138

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