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Contact Information

LIPP, CARLSON, WITUCKI & ASSOCIATES, LTD
2808 17TH AVE S
GRAND FORKS, ND58201-4010
 Phone: 701-746-8376
 Fax: 701-746-9872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIPP, CARLSON, WITUCKI & ASSOCIATES, LTD

NPI Number 1043316961
LBN Legal business name LIPP, CARLSON, WITUCKI & ASSOCIATES, LTD
Authorized official PRISCILLA MARTO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers
MN Medicaid 007089100
ND Medicaid 10098
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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