Ward Suppa, Juliana
Ward Suppa, Juliana is an individual health care provider with primary practice located at 891 Belsly Blvd , Moorhead MN 56560-5055. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Ward Suppa, Juliana can be contacted via phone (218) 287-4338.Contact Information
Primary practice address
891 Belsly Blvd
Moorhead MN 56560-5055
Phone: (218) 287-4338
Fax: (218) 287-5928
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-19-37173 | North Dakota |
Profile Details
NPI number | 1679096069 |
---|---|
LBN Legal business name | Ward Suppa, Juliana |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2017 |
Last updated | Jul 21st, 2022 - about 2 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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