Gugisberg, Ellen
Gugisberg, Ellen is an individual health care provider with primary practice located at 1201 25Th St S , Fargo ND 58103-2311. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gugisberg, Ellen can be contacted via phone (701) 451-4900.Contact Information
Primary practice address
1201 25Th St S
Fargo ND 58103-2311
Phone: (701) 451-4900
Fax: (701) 451-5057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | North Dakota |
Profile Details
| NPI number | 1285779447 |
|---|---|
| LBN Legal business name | Gugisberg, Ellen |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1285779447 | NPPES |
| North Dakota | Other | 58103-A004 | TRIWEST |
| North Dakota | Other | HP70690 | TRIWEST |
| North Dakota | Other | 2040318 | TRIWEST |
| North Dakota | Other | 9397797 | TRIWEST |
| North Dakota | Other | 309S8GU | TRIWEST |
| North Dakota | Other | 17979 | TRIWEST |
| North Dakota | Other | 2352431 | TRIWEST |
| North Dakota | Other | 62-87355 | TRIWEST |
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