Individual
JAN BIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4051 HIGHWAY 281, BELCOURT, ND 58316
(701) 477-5688
(701) 447-5797
Mailing address
PO BOX 900, BELCOURT, ND 58316-0900
(701) 477-5688
(701) 477-5797
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450223071
—
ND
Enumeration date
05/13/2016
Last updated
05/13/2016
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