Tandeski, Shirley

Tandeski, Shirley is an individual health care provider with primary practice located at 200 Highway 2 W , Devils Lake ND 58301-3532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Tandeski, Shirley can be contacted via phone (701) 665-2200.

Contact Information

Primary practice address
200 Highway 2 W Devils Lake ND 58301-3532
Phone: (701) 665-2200
Fax: (701) 665-2300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 50 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Dakota

Profile Details

NPI number 1124115597
LBN Legal business name Tandeski, Shirley
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 17 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 1124115597 NPPES
North Dakota MEDICAID 054518

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