Wahl, Jennifer Lyn

Wahl, Jennifer Lyn is an individual health care provider with primary practice located at 111 9Th St S , Fargo ND 58103-1831. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Wahl, Jennifer Lyn can be contacted via phone (701) 212-8626.

Contact Information

Primary practice address
111 9Th St S Fargo ND 58103-1831
Phone: (701) 212-8626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 00000 North Dakota

Profile Details

NPI number 1255098034
LBN Legal business name Wahl, Jennifer Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2021
Last updated Nov 29th, 2021 - about 4 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 1255098034 NPPES
North Dakota MEDICAID 347C00000X
North Dakota MEDICAID 251S00000X
North Dakota MEDICAID 251B00000X

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