Carson, Janine L

Carson, Janine L is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Carson, Janine L can be contacted via phone (701) 234-2406.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Fax: (701) 234-7481
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 7732 North Dakota

Profile Details

NPI number 1295752293
LBN Legal business name Carson, Janine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Mar 25th, 2022 - about 2 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 1295752293 NPPES
North Dakota MEDICAID 10996

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