Dawson, Brian Jefferson

Dawson, Brian Jefferson is an individual health care provider with primary practice located at 3345 39Th St S Ste 2 , Fargo ND 58104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Dawson, Brian Jefferson can be contacted via phone (509) 222-1275.

Contact Information

Primary practice address
3345 39Th St S Ste 2 Fargo ND 58104
Phone: (509) 222-1275
Fax: (509) 491-3031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PT15145 North Dakota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00042009 Washington
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X PT15145 North Dakota
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X PT15145 North Dakota

Profile Details

NPI number 1871540435
LBN Legal business name Dawson, Brian Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Nov 10th, 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 1871540435 NPPES
Washington Other 0202684 LIWA
Washington Other 3074DA LIWA
Washington MEDICAID 8352197 LIWA

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