Baumbach, Diane Kay
Baumbach, Diane Kay is an sole proprietor health care provider with primary practice located at 2755 10Th Ave N , Grand Forks ND 58203. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Baumbach, Diane Kay can be contacted via phone (701) 738-0888.Contact Information
Primary practice address
2755 10Th Ave N
Grand Forks ND 58203
Phone: (701) 738-0888
Fax: (701) 757-1431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2971 | North Dakota |
Profile Details
| NPI number | 1033217955 |
|---|---|
| LBN Legal business name | Baumbach, Diane Kay |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 2nd, 2019 - about 7 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 | 1033217955 | NPPES |
| North Dakota | MEDICAID | 1456202 |
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