Nordlum, Alice Ethel
Nordlum, Alice Ethel is an individual health care provider with primary practice located at 5842 Old Main St Ste 2 , North Branch MN 55056-6687. 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. Nordlum, Alice Ethel can be contacted via phone (651) 401-3068.Contact Information
Primary practice address
5842 Old Main St Ste 2
North Branch MN 55056-6687
Phone: (651) 401-3068
Fax: (651) 674-2534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304361 | Minnesota |
Profile Details
| NPI number | 1891297024 |
|---|---|
| LBN Legal business name | Nordlum, Alice Ethel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2018 |
| Last updated | Mar 4th, 2018 - about 7 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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