Wennerberg, Alyssa
Wennerberg, Alyssa is an individual health care provider with primary practice located at 819 30Th Ave S Ste 103D , Moorhead MN 56560-5000. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wennerberg, Alyssa can be contacted via phone (701) 428-2327.Contact Information
Primary practice address
819 30Th Ave S Ste 103D
Moorhead MN 56560-5000
Phone: (701) 428-2327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 912-8-1-17-360 | North Dakota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 912-8-1-17A | North Dakota |
Profile Details
| NPI number | 1811414857 |
|---|---|
| LBN Legal business name | Wennerberg, Alyssa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2017 |
| Last updated | Nov 26th, 2024 - about 2 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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