Dyrud, Alva

Dyrud, Alva is an individual health care provider with primary practice located at 910 Lincoln Ave , Detroit Lakes MN 56501-3500. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dyrud, Alva can be contacted via phone (218) 844-5689.

Contact Information

Primary practice address
910 Lincoln Ave Detroit Lakes MN 56501-3500
Phone: (218) 844-5689
Fax: (218) 844-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1195 Minnesota

Profile Details

NPI number 1871705186
LBN Legal business name Dyrud, Alva
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
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 1871705186 NPPES
Minnesota Other 12N24DY BCBSMN
Minnesota Other HP71178 BCBSMN

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