Bjellum, Hans E
Bjellum, Hans E is an individual health care provider with primary practice located at 5621 36Th Ave S Unit 200 , Fargo ND 58104-5270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bjellum, Hans E can be contacted via phone (701) 977-9898.Contact Information
Primary practice address
5621 36Th Ave S Unit 200
Fargo ND 58104-5270
Phone: (701) 977-9898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8067 | North Dakota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 41143 | Minnesota |
Profile Details
| NPI number | 1396736443 |
|---|---|
| LBN Legal business name | Bjellum, Hans E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Aug 15th, 2022 - about 4 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 | 1396736443 | NPPES |
| Minnesota | Other | P00442326 | RR MEDICARE |
| Minnesota | Other | 0107352 | RR MEDICARE |
| Minnesota | Other | 1021825 | RR MEDICARE |
| Minnesota | Other | 1756909 | RR MEDICARE |
| Minnesota | Other | HP29758 | RR MEDICARE |
| Minnesota | Other | 559538000 | RR MEDICARE |
| Minnesota | Other | 81D95BJ | RR MEDICARE |
| Minnesota | Other | 127724 | RR MEDICARE |
| Minnesota | Other | COMP | RR MEDICARE |
| Minnesota | Other | COMP | RR MEDICARE |
| Minnesota | Other | 941144 | RR MEDICARE |
| Minnesota | Other | COMP | RR MEDICARE |
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