Lundberg, Deette
Lundberg, Deette is an individual health care provider with primary practice located at 231 S Wilson St , Casper WY 82601-2941. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lundberg, Deette can be contacted via phone (307) 265-3791.Contact Information
Primary practice address
231 S Wilson St
Casper WY 82601-2941
Phone: (307) 265-3791
Fax: (307) 265-4480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAT-345 | Wyoming |
Profile Details
| NPI number | 1124650486 |
|---|---|
| LBN Legal business name | Lundberg, Deette |
| Credentials | Licensed Athletic Trainer (LAT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2020 |
| Last updated | Feb 5th, 2020 - about 6 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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