King, Brenda J

King, Brenda J is an individual health care provider with primary practice located at 2808 17Th Ave S , Grand Forks ND 58201-4010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. King, Brenda J can be contacted via phone (701) 746-8376.

Contact Information

Primary practice address
2808 17Th Ave S Grand Forks ND 58201-4010
Phone: (701) 746-8376
Fax: (701) 746-9872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 357 North Dakota

Profile Details

NPI number 1598799892
LBN Legal business name King, Brenda J
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 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 1598799892 NPPES
North Dakota MEDICAID 12052

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