Hanisch, Stefanie Ulrike
Hanisch, Stefanie Ulrike is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Hanisch, Stefanie Ulrike can be contacted via phone (701) 234-4141.Contact Information
Primary practice address
100 4Th St S
Fargo ND 58103-1929
Phone: (701) 234-4141
Fax: (701) 234-4024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 45431 | Minnesota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 45431 | Minnesota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 9460 | North Dakota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 9460 | North Dakota |
Profile Details
| NPI number | 1447350400 |
|---|---|
| LBN Legal business name | Hanisch, Stefanie Ulrike |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Dec 1st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447350400 | NPPES |
| Other | HP51767 | HEALTHPARTNERS | |
| Other | 28773 | HEALTHPARTNERS | |
| MEDICAID | 318605900 | HEALTHPARTNERS | |
| Other | 858K6HA | HEALTHPARTNERS | |
| MEDICAID | 12303 | HEALTHPARTNERS |
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