Breidenbach, Terry L
Breidenbach, Terry L is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Breidenbach, Terry L can be contacted via phone (701) 234-7400.Contact Information
Primary practice address
1720 University Dr S
Fargo ND 58103-4940
Phone: (701) 234-7400
Fax: (701) 280-4492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R29748 | North Dakota |
Profile Details
| NPI number | 1902098031 |
|---|---|
| LBN Legal business name | Breidenbach, Terry L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Dec 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902098031 | NPPES |
| North Dakota | MEDICAID | 19875 |
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