Ogdahl, Amanda
Ogdahl, Amanda is an sole proprietor health care provider with primary practice located at 324 Broadway St Ste 206 , Alexandria MN 56308-1482. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ogdahl, Amanda can be contacted via phone (320) 762-1762.Contact Information
Primary practice address
324 Broadway St Ste 206
Alexandria MN 56308-1482
Phone: (320) 762-1762
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC01552 | Minnesota |
Profile Details
NPI number | 1346768496 |
---|---|
LBN Legal business name | Ogdahl, Amanda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2017 |
Last updated | Jul 31st, 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 | 1346768496 | NPPES |
Minnesota | MEDICAID | CC01552 |
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