Dillon, Jeanne C

Dillon, Jeanne C is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dillon, Jeanne C can be contacted via phone (701) 234-2261.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-2261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5030 South Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10868 North Dakota

Profile Details

NPI number 1821062514
LBN Legal business name Dillon, Jeanne C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 13th, 2012 - about 12 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 1821062514 NPPES
Iowa MEDICAID 0555144
Iowa MEDICAID 200896300
Iowa Other 57105F009
Iowa Other 135M7DI
Iowa Other 5030
Iowa Other 0040350
Iowa Other 0404738
Iowa Other 141730
Iowa Other 25566
Iowa MEDICAID 46022474335
Iowa Other 769201031092
Iowa Other HP37118
Iowa Other 1650053
Iowa Other 236597
Iowa Other 92411422901
Iowa Other 110237698
Iowa MEDICAID 6004370

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