EDWARD KEHRWALD PHD LAC NPI 1780627489

NPI Information

NPI: 1780627489
Provider Name: EDWARD KEHRWALD, PHD, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1237 W DIVIDE AVE
STE 5
BISMARCK, ND
ZIP 58501
Phone: (701) 328-8844
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Edward Kehrwald, PHD, LAC is an addiction (substance use disorder) counselor in Bismarck, ND. Edward Kehrwald, PHD, LAC NPI is 1780627489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1237 W DIVIDE AVE
STE 5
BISMARCK, ND
ZIP 58501-208
Phone: (701) 328-8844
Fax: (701) 328-8900

The NPI 1780627489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/13/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1324	NORTH DAKOTA	Yes
2	103TC0700X	Psychologist	Clinical	185	NORTH DAKOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	P00323097	OTHER	RR MEDICARE
2	N5274	MEDICARE PIN
3	05274	OTHER	BCBS OF ND PIN
4	R02170	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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