Hultgren, Amy M

Hultgren, Amy M is an individual health care provider with primary practice located at 200 Highway 2 W , Devils Lake ND 58301-3532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hultgren, Amy M can be contacted via phone (701) 665-2200.

Contact Information

Primary practice address
200 Highway 2 W Devils Lake ND 58301-3532
Phone: (701) 665-2200
Fax: (701) 665-2300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3019 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Dakota

Profile Details

NPI number 1578504643
LBN Legal business name Hultgren, Amy M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578504643 NPPES
North Dakota MEDICAID 054518
North Dakota Other 021497
North Dakota Other N21497

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