Lahaise, Kim T

Lahaise, Kim T is an individual health care provider with primary practice located at 1220 Main Ave Ste 100 , Fargo ND 58103-8233. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalysis, which is considered as her primary health care specialty. Lahaise, Kim T can be contacted via phone (701) 297-7588.

Contact Information

Primary practice address
1220 Main Ave Ste 100 Fargo ND 58103-8233
Phone: (701) 297-7588
Fax: (701) 364-2256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X 330 North Dakota

Profile Details

NPI number 1376560045
LBN Legal business name Lahaise, Kim T
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 13th, 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 1376560045 NPPES
North Dakota MEDICAID 11096
North Dakota MEDICAID 689480100

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