Hultgren, Amy M
Hultgren, Amy M is an individual health care provider with primary practice located at 200 Highway 2 W , Devils Lake ND 58301-3532. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Hultgren, Amy M can be contacted via phone (701) 665-2200.Contact Information
Primary practice address
200 Highway 2 W
Devils Lake ND 58301-3532
Phone: (701) 665-2200
Fax: (701) 665-2300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3019 | North Dakota |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | North Dakota |
Profile Details
| NPI number | 1578504643 |
|---|---|
| LBN Legal business name | Hultgren, Amy M |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
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 | 1578504643 | NPPES |
| North Dakota | MEDICAID | 054518 | |
| North Dakota | Other | 021497 | |
| North Dakota | Other | N21497 |
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