Belanger, Martin
Belanger, Martin is an sole proprietor health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Belanger, Martin can be contacted via phone (701) 280-4150.Contact Information
Primary practice address
1720 University Dr S
Fargo ND 58103-4940
Phone: (701) 280-4150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 57097 | California |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 2085 | North Dakota |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | D12849 | Minnesota |
Profile Details
| NPI number | 1720241615 |
|---|---|
| LBN Legal business name | Belanger, Martin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2008 |
| Last updated | Dec 29th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720241615 | NPPES |
| Minnesota | MEDICAID | 1720241615 | |
| Minnesota | MEDICAID | 41543 |
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