Spiczka, Kim
Spiczka, Kim is an individual health care provider with primary practice located at 1351 Page Dr S Ste 301 , Fargo ND 58103-3536. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Spiczka, Kim can be contacted via phone (701) 205-4533.Contact Information
Primary practice address
1351 Page Dr S Ste 301
Fargo ND 58103-3536
Phone: (701) 205-4533
Fax: (701) 205-4593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 811-12-1-14A | North Dakota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 811-12-1-14-296 | North Dakota |
Profile Details
| NPI number | 1356739551 |
|---|---|
| LBN Legal business name | Spiczka, Kim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2014 |
| Last updated | Oct 27th, 2021 - about 5 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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