Reid, Jennifer
Reid, Jennifer is an individual health care provider with primary practice located at 1201 25Th St S , Fargo ND 58103-2311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Reid, Jennifer can be contacted via phone (701) 451-4900.Contact Information
Primary practice address
1201 25Th St S
Fargo ND 58103-2311
Phone: (701) 451-4900
Fax: (651) 925-0057
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 547-1-1-06 | North Dakota |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1525 | North Dakota |
Profile Details
NPI number | 1255485850 |
---|---|
LBN Legal business name | Reid, Jennifer |
Credentials | M.ED, LAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2007 |
Last updated | Feb 5th, 2018 - about 6 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 | 1255485850 | NPPES |
North Dakota | Other | 27356 | BCBSND # |
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