Blaine, Richard W

Blaine, Richard W is an individual health care provider with primary practice located at 737 Broadway N , Fargo ND 58122-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Blaine, Richard W can be contacted via phone (701) 234-4811.

Contact Information

Primary practice address
737 Broadway N Fargo ND 58122-0001
Phone: (701) 234-4811
Fax: (701) 234-6979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3003 North Dakota

Profile Details

NPI number 1942227947
LBN Legal business name Blaine, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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