Rustvang, Madeline Frei

Rustvang, Madeline Frei is an individual health care provider with primary practice located at 4725 Amber Valley Pkwy S Ste B , Fargo ND 58104-8614. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Rustvang, Madeline Frei can be contacted via phone (701) 478-0221.

Contact Information

Primary practice address
4725 Amber Valley Pkwy S Ste B Fargo ND 58104-8614
Phone: (701) 478-0221
Fax: (701) 478-0222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1245013754
LBN Legal business name Rustvang, Madeline Frei
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2023
Last updated Aug 17th, 2023 - about 2 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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