Qual, Kandia

Qual, Kandia is an individual health care provider with primary practice located at 414 11Th St N , Fargo ND 58102-4312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Qual, Kandia can be contacted via phone (701) 364-0743.

Contact Information

Primary practice address
414 11Th St N Fargo ND 58102-4312
Phone: (701) 364-0743
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1932874856
LBN Legal business name Qual, Kandia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2021
Last updated Oct 1st, 2021 - about 4 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 1932874856 NPPES
North Dakota MEDICAID 1482663

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