Taken Alive, Summer

Taken Alive, Summer is an individual health care provider with primary practice located at 4909 Shelburne St , Bismarck ND 58503-5605. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Taken Alive, Summer can be contacted via phone (701) 223-2417.

Contact Information

Primary practice address
4909 Shelburne St Bismarck ND 58503-5605
Phone: (701) 223-2417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Specialist 174400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1396335360
LBN Legal business name Taken Alive, Summer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2021
Last updated Aug 3rd, 2021 - about 3 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 1396335360 NPPES
North Dakota MEDICAID 1481505
North Dakota MEDICAID 1481709

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