Gefroh, Diana Rae
Gefroh, Diana Rae is an sole proprietor health care provider with primary practice located at 1915 W. Kavaney Dr Suite 4 , Bismarck ND 58501. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gefroh, Diana Rae can be contacted via phone (701) 255-3325.Contact Information
Primary practice address
1915 W. Kavaney Dr Suite 4
Bismarck ND 58501
Phone: (701) 255-3325
Fax: (701) 250-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 611-9-1-08A | North Dakota |
Profile Details
| NPI number | 1235384892 |
|---|---|
| LBN Legal business name | Gefroh, Diana Rae |
| Credentials | MSED., LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2008 |
| Last updated | Mar 6th, 2023 - about last year |
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 | 1235384892 | NPPES |
| North Dakota | MEDICAID | 1473341 |
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