Rader, Shirley J

Rader, Shirley J is an individual health care provider with primary practice located at 801 Roosevelt Ave , Detroit Lakes MN 56501-3703. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Rader, Shirley J can be contacted via phone (218) 847-5401.

Contact Information

Primary practice address
801 Roosevelt Ave Detroit Lakes MN 56501-3703
Phone: (218) 847-5401
Fax: (218) 573-2350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP3342 Minnesota
Behavioral Health & Social Service Providers / Counseling 103TC1900X 320 North Dakota

Profile Details

NPI number 1417953951
LBN Legal business name Rader, Shirley J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jul 9th, 2007 - about 17 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 1417953951 NPPES
North Dakota Other 19698RAD ND BLUE CROSS BLUE SHIELD
North Dakota Other 01019338 ND BLUE CROSS BLUE SHIELD
North Dakota Other 6G302RA ND BLUE CROSS BLUE SHIELD
North Dakota MEDICAID 10857 ND BLUE CROSS BLUE SHIELD

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