Eagle, Serena Faith

Eagle, Serena Faith is an sole proprietor health care provider with primary practice located at 410 7Th Ave S , Devils Lake ND 58301. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Eagle, Serena Faith can be contacted via phone (701) 230-3726.

Contact Information

Primary practice address
410 7Th Ave S Devils Lake ND 58301
Phone: (701) 230-3726
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X North Dakota
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1780440966
LBN Legal business name Eagle, Serena Faith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2024
Last updated Apr 19th, 2024 - about 2 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 1780440966 NPPES
North Dakota Other 1780440968 QSP

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