Bialik, David

Bialik, David is an individual health care provider with primary practice located at 1451 44Th Ave S , Grand Forks ND 58201-3434. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bialik, David can be contacted via phone (701) 775-2500.

Contact Information

Primary practice address
1451 44Th Ave S Grand Forks ND 58201-3434
Phone: (701) 775-2500
Fax: (701) 787-8996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2968 North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11900 Minnesota

Profile Details

NPI number 1427014752
LBN Legal business name Bialik, David
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1427014752 NPPES
Minnesota MEDICAID 0418687000
Minnesota Other 17397
Minnesota Other 93D23BI

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