Damle, Ajit S
Damle, Ajit S is an individual health care provider with primary practice located at 737 Broadway , Fargo ND 58122-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Damle, Ajit S can be contacted via phone (701) 234-2576.Contact Information
Primary practice address
737 Broadway
Fargo ND 58122-0001
Phone: (701) 234-2576
Fax: (701) 234-3769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5835 | North Dakota |
Profile Details
| NPI number | 1972520831 |
|---|---|
| LBN Legal business name | Damle, Ajit S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Oct 20th, 2008 - 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 | 1972520831 | NPPES |
| North Dakota | MEDICAID | 16266 | |
| North Dakota | MEDICAID | 288297300 |
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