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
Phone: (402) 274-8018
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083873806 | NPPES |
Nebraska | MEDICAID | 10025559800 |
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