Stern, David

Stern, David is an individual health care provider with primary practice located at 4133 Iowa St , Alexandria MN 56308-3316. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Stern, David can be contacted via phone (320) 762-8851.

Contact Information

Primary practice address
4133 Iowa St Alexandria MN 56308-3316
Fax: (651) 925-0057
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7483 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1449 Minnesota

Profile Details

NPI number 1235358037
LBN Legal business name Stern, David
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Feb 25th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235358037 NPPES
Minnesota Other 56308-A004 TRI WEST
Minnesota MEDICAID 522853100 TRI WEST
Minnesota Other 62-70233 TRI WEST
Minnesota Other 31002005 TRI WEST
Minnesota Other 06H9ST TRI WEST

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