Zielke, Desiree
Zielke, Desiree is an individual health care provider with primary practice located at 4610 Amber Valley Pkwy S Ste F , Fargo ND 58104-8621. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Zielke, Desiree can be contacted via phone (701) 551-1840.Contact Information
Primary practice address
4610 Amber Valley Pkwy S Ste F
Fargo ND 58104-8621
Phone: (701) 551-1840
Fax: (701) 551-1859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 489 | North Dakota |
Profile Details
| NPI number | 1871914903 |
|---|---|
| LBN Legal business name | Zielke, Desiree |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2013 |
| Last updated | Jun 8th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871914903 | NPPES |
| North Dakota | MEDICAID | 18937 |
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