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

Primary practice address
5225 23Rd Ave S Fargo ND 58104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 5 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 1730141466 NPPES
Minnesota MEDICAID 971288700

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