Archuletta, Holli

Archuletta, Holli is an individual health care provider with primary practice located at 1463 I94 Business Loop E , Dickinson ND 58601-6434. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Archuletta, Holli can be contacted via phone (701) 227-7500.

Contact Information

Primary practice address
1463 I94 Business Loop E Dickinson ND 58601-6434
Phone: (701) 227-7500
Fax: (701) 227-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 86731516327 North Dakota

Profile Details

NPI number 1265829675
LBN Legal business name Archuletta, Holli
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2015
Last updated Nov 6th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265829675 NPPES
Other 14504853 CAQH
MEDICAID 1472298 CAQH

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