Fosberg, Dave

Fosberg, Dave is an individual health care provider with primary practice located at 23 Nw Greenwood Ave , Bend OR 97703-2078. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Fosberg, Dave can be contacted via phone (541) 383-4293.

Contact Information

Primary practice address
23 Nw Greenwood Ave Bend OR 97703-2078
Phone: (541) 383-4293
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1730554163
LBN Legal business name Fosberg, Dave
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Mar 22nd, 2016 - about 9 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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