Faver, Richard William

Faver, Richard William is an individual health care provider with primary practice located at 522 Beltrami Ave Nw Ste 17 , Bemidji MN 56601-3182. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Faver, Richard William can be contacted via phone (218) 407-2595.

Contact Information

Primary practice address
522 Beltrami Ave Nw Ste 17 Bemidji MN 56601-3182
Phone: (218) 407-2595
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 3436 Minnesota

Profile Details

NPI number 1346346806
LBN Legal business name Faver, Richard William
Credentials MA, L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 9th, 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 1346346806 NPPES
Minnesota Other 43B77FA BCBS OF MN
Minnesota MEDICAID 283522300 BCBS OF MN

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