Healthcare Provider Details

I. General information

NPI: 1679937726
Provider Name (Legal Business Name): JOHN B. FUHER LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 S 4TH ST SUITE 401
GRAND FORKS ND
58201-4715
US

IV. Provider business mailing address

2100 5TH AVE N VALLEY MIDDLE SCHOOL
GRAND FORKS ND
58201
US

V. Phone/Fax

Practice location:
  • Phone: 701-795-3000
  • Fax: 701-795-3050
Mailing address:
  • Phone: 701-795-3000
  • Fax: 701-795-3050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number657
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: