Gamliel, Tiram

Gamliel, Tiram is an individual health care provider with primary practice located at 3535 S 31St St Ste 201 , Grand Forks ND 58201-3593. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gamliel, Tiram can be contacted via phone (701) 780-6821.

Contact Information

Primary practice address
3535 S 31St St Ste 201 Grand Forks ND 58201-3593
Phone: (701) 780-6821
Fax: (701) 780-1973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 00053 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 168-11-15-01-148 North Dakota

Profile Details

NPI number 1104882935
LBN Legal business name Gamliel, Tiram
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Sep 6th, 2018 - about 6 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 1104882935 NPPES
Minnesota MEDICAID 897903100
Minnesota Other 24542
Minnesota Other 319K1GA

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