Fore, Pam L

Fore, Pam L is an individual health care provider with primary practice located at 520 Nw 5Th St , Brainerd MN 56401-2902. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fore, Pam L can be contacted via phone (218) 829-3235.

Contact Information

Primary practice address
520 Nw 5Th St Brainerd MN 56401-2902
Phone: (218) 829-3235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10461 Minnesota

Profile Details

NPI number 1861533630
LBN Legal business name Fore, Pam L
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 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 1861533630 NPPES
Minnesota Other 1022975 PREFERRED ONE
Minnesota Other 127665 PREFERRED ONE
Minnesota Other 639B90FO PREFERRED ONE

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