Walker, Phoenix Lyn Black
Walker, Phoenix Lyn Black is an individual health care provider with primary practice located at 1401 E 1St St , Duluth MN 55805-2407. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Walker, Phoenix Lyn Black can be contacted via phone (218) 728-4491.Contact Information
Primary practice address
1401 E 1St St
Duluth MN 55805-2407
Phone: (218) 728-4491
Fax: (218) 730-2367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 300519 | Minnesota |
Profile Details
| NPI number | 1245755107 |
|---|---|
| LBN Legal business name | Walker, Phoenix Lyn Black |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2017 |
| Last updated | Aug 11th, 2017 - about 7 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.
Popular Providers
-
Mizera, Carin M
205 W 2Nd St , Duluth MN 55802-1928 -
Livingston, Matthew
1401 East 1St Street , Duluth MN 55805-2407 -
Alaspa, Alana Lee
332 W Superior St Ste 300 , Duluth MN 55802-1844 -
Hall, Guy Andrew
332 W Superior St Ste 300 , Duluth MN 55802-1844 -
Bergstedt, Brian
332 West Superior Street Suite 300, Duluth MN 55802 -
Steele, Sherrie Lynn
4615 Grand Ave , Duluth MN 55807-2749 -
Huray, Melissa June
326 North Central Avenue , Duluth MN 55807 -
Lindquist, Cody
1401 East 1St Street , Duluth MN 55805-2407