Wanner, Victor

Wanner, Victor is an individual health care provider with primary practice located at 112 3Rd St W Suite 301, Dickinson ND 58601-5136. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wanner, Victor can be contacted via phone (701) 483-9150.

Contact Information

Primary practice address
112 3Rd St W Suite 301 Dickinson ND 58601-5136
Phone: (701) 483-9150
Fax: (701) 483-9150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1132 North Dakota
Nursing Service Providers / Registered Nurse 163W00000X R16926 North Dakota

Profile Details

NPI number 1881611572
LBN Legal business name Wanner, Victor
Credentials LAC, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 22nd, 2014 - about 11 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 1881611572 NPPES
North Dakota Other 09204 BCBS PIN
North Dakota MEDICAID 54523 BCBS PIN

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