Botsford, John D

Botsford, John D is an individual health care provider with primary practice located at 401 N 9Th St , Bismarck ND 58501-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Botsford, John D can be contacted via phone (701) 530-6000.

Contact Information

Primary practice address
401 N 9Th St Bismarck ND 58501-4507
Fax: (701) 530-6430
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6983 North Dakota

Profile Details

NPI number 1639125321
LBN Legal business name Botsford, John D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 2nd, 2014 - about 10 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 1639125321 NPPES
North Dakota Other P00128539 MEDICARE RAILROAD
North Dakota MEDICAID 18113 MEDICARE RAILROAD

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