Deleeuw, Karel A

Deleeuw, Karel A is an individual health care provider with primary practice located at 1717 University Dr S , Fargo ND 58103. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Deleeuw, Karel A can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
1717 University Dr S Fargo ND 58103
Phone: (701) 234-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2332 North Dakota
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X PT15017 North Dakota
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 32072 Arizona
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 32072 Arizona
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 15017 North Dakota

Profile Details

NPI number 1225013022
LBN Legal business name Deleeuw, Karel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Apr 29th, 2022 - about 4 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 1225013022 NPPES
Arizona Other 86080015085259C381 TRIWEST
Arizona Other P00150696 TRIWEST
Arizona MEDICAID 816936 TRIWEST

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