Danielson, Eben Blake
Danielson, Eben Blake is an individual health care provider with primary practice located at 815 37Th Ave S , Moorhead MN 56560-5524. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Danielson, Eben Blake can be contacted via phone (701) 451-4811.Contact Information
Primary practice address
815 37Th Ave S
Moorhead MN 56560-5524
Phone: (701) 451-4811
Fax: (651) 925-0057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CC01693 | Minnesota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 01905 | Minnesota |
Profile Details
| NPI number | 1437662970 |
|---|---|
| LBN Legal business name | Danielson, Eben Blake |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2017 |
| Last updated | Feb 25th, 2020 - about 6 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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