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
Fax: (701) 234-3769
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1972520831 NPPES
North Dakota MEDICAID 16266
North Dakota MEDICAID 288297300

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