Wise, Richard Allen

Wise, Richard Allen is an individual health care provider with primary practice located at 2100 S Columbia Rd #202, Grand Forks ND 58201. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Wise, Richard Allen can be contacted via phone (701) 772-1588.

Contact Information

Primary practice address
2100 S Columbia Rd #202 Grand Forks ND 58201
Phone: (701) 772-1588
Fax: (701) 746-6077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 390 North Dakota

Profile Details

NPI number 1609096346
LBN Legal business name Wise, Richard Allen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 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 1609096346 NPPES
Other 27835 BCND

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