Nelson, Lucas James

Nelson, Lucas James is an individual health care provider with primary practice located at 151 S 4Th St Ste 201 , Grand Forks ND 58201-4715. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nelson, Lucas James can be contacted via phone (701) 787-8569.

Contact Information

Primary practice address
151 S 4Th St Ste 201 Grand Forks ND 58201-4715
Phone: (701) 787-8569
Fax: (701) 787-5918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4336 North Dakota

Profile Details

NPI number 1235263344
LBN Legal business name Nelson, Lucas James
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Oct 8th, 2014 - about 11 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 1235263344 NPPES
North Dakota MEDICAID 054519

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