Fender, Daniel G

Fender, Daniel G is an individual health care provider with primary practice located at 2501 Capehart Rd Suite 2, Offutt Afb NE 68113-1043. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Fender, Daniel G can be contacted via phone (402) 274-8018.

Contact Information

Primary practice address
2501 Capehart Rd Suite 2 Offutt Afb NE 68113-1043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7872 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6467 Nebraska

Profile Details

NPI number 1083873806
LBN Legal business name Fender, Daniel G
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2008
Last updated Dec 2nd, 2021 - about 3 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 1083873806 NPPES
Nebraska MEDICAID 10025559800

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