Austin, William R

Austin, William R is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Austin, William R can be contacted via phone (701) 234-5015.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4816 Alaska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4455 North Dakota

Profile Details

NPI number 1881633634
LBN Legal business name Austin, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881633634 NPPES
Alaska MEDICAID MD4816

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