Samuelson, Wayne D
Samuelson, Wayne D is an individual health care provider with primary practice located at 1351 Page Dr S Ste 105 , Fargo ND 58103-3536. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Samuelson, Wayne D can be contacted via phone (701) 893-3419.Contact Information
Primary practice address
1351 Page Dr S Ste 105
Fargo ND 58103-3536
Phone: (701) 893-3419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 75 | North Dakota |
Profile Details
| NPI number | 1821068966 |
|---|---|
| LBN Legal business name | Samuelson, Wayne D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Nov 7th, 2007 - about 19 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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