Crisostomo, Edgardo Abad
Crisostomo, Edgardo Abad is an individual health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Crisostomo, Edgardo Abad can be contacted via phone (701) 417-4817.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 31499 | Minnesota |
Profile Details
| NPI number | 1730141466 |
|---|---|
| LBN Legal business name | Crisostomo, Edgardo Abad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Dec 3rd, 2019 - about 6 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 | 1730141466 | NPPES |
| Minnesota | MEDICAID | 971288700 |
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