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Contact Information

MARY J SOLBERG
1705 4TH AVE NW
MINOT, ND58703
 Phone: 701-839-0474
 Fax: 701-839-0713
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY J SOLBERG

NPI Number 1750701280
LBN Legal business name MARY J SOLBERG
Authorized official CHAR HICKEL - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2014
Last updated 05/15/2014 - About 12 years ago
Identifiers
ND License # 2997
ND Medicaid 19302
ND Other 717658 MEDICARE PTAN
ND Other N717658 MEDICARE PTAN
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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