Lommen, David P
Lommen, David P is an sole proprietor health care provider with primary practice located at 2808 17Th Ave S , Grand Forks ND 58201-4010. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lommen, David P 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:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 211 | North Dakota |
Profile Details
NPI number | 1356375646 |
---|---|
LBN Legal business name | Lommen, David P |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 10th, 2006 |
Last updated | Mar 12th, 2019 - about 5 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 | 1356375646 | NPPES |
North Dakota | MEDICAID | 16927 | |
North Dakota | MEDICAID | 560352800 |
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