| 70177wahus Consulting, Inc | |
|
901 6th St W Williston ND 58801-4810 | |
| (701) 572-7217 | |
| Not Available |
| Full Name | 70177wahus Consulting, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 6th St W, Williston, North Dakota |
| Authorized Official Name and Position | Donald D Wahus (REGISTERED AGENT) |
| Authorized Official Contact | 7015727217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 70177wahus Consulting, Inc 901 6th St W Williston ND 58801-4810 Ph: (701) 572-7217 | 70177wahus Consulting, Inc 901 6th St W Williston ND 58801-4810 Ph: (701) 572-7217 |
| NPI Number | 1396982161 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396982161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1204 (North Dakota) | Primary |
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