Frissell, Jenny Kathryn

Frissell, Jenny Kathryn is an individual health care provider with primary practice located at 510 4 St S , Fargo ND 58103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Frissell, Jenny Kathryn can be contacted via phone (701) 476-7800.

Contact Information

Primary practice address
510 4 St S Fargo ND 58103
Fax: (701) 280-5795
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 358 North Dakota

Profile Details

NPI number 1467555078
LBN Legal business name Frissell, Jenny Kathryn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
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 1467555078 NPPES
North Dakota MEDICAID 12053

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