Walking Eagle, Iris

Walking Eagle, Iris is an individual health care provider with primary practice located at 425 College Dr S Ste 8 , Devils Lake ND 58301-3537. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Walking Eagle, Iris can be contacted via phone (701) 223-2417.

Contact Information

Primary practice address
425 College Dr S Ste 8 Devils Lake ND 58301-3537
Phone: (701) 223-2417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1790375210
LBN Legal business name Walking Eagle, Iris
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2021
Last updated Apr 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790375210 NPPES
North Dakota MEDICAID 1481757
North Dakota MEDICAID 1481498

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