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
Phone: (320) 762-8851
Fax: (651) 925-0057
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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