Boomgaarden, Renee L.

Boomgaarden, Renee L. 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 Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Boomgaarden, Renee L. 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
Behavioral Health & Social Service Providers / Psychologist 103T00000X 265 North Dakota
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1215971056
LBN Legal business name Boomgaarden, Renee L.
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215971056 NPPES
Other 680008169 RR MEDICARE
MEDICAID 54523 RR MEDICARE
Other 14293 RR MEDICARE

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