Paulson, Michael Dana

Paulson, Michael Dana is an individual health care provider with primary practice located at 891 Belsly Blvd , Moorhead MN 56560-5055. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Paulson, Michael Dana can be contacted via phone (218) 287-4338.

Contact Information

Primary practice address
891 Belsly Blvd Moorhead MN 56560-5055
Phone: (218) 287-4338
Fax: (218) 287-5928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 39 North Dakota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0989 Minnesota

Profile Details

NPI number 1831109818
LBN Legal business name Paulson, Michael Dana
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 17th, 2008 - about 18 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 1831109818 NPPES
North Dakota Other 16069 BCND
North Dakota Other 67D82PA BCND
North Dakota MEDICAID 10716 BCND

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