Dvorak, Susan J

Dvorak, Susan J is an individual health care provider with primary practice located at 1000 S Columbia Rd , Grand Forks ND 58201-4036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dvorak, Susan J can be contacted via phone (701) 780-5345.

Contact Information

Primary practice address
1000 S Columbia Rd Grand Forks ND 58201-4036
Phone: (701) 780-5345
Fax: (701) 780-1942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAC0353 North Dakota

Profile Details

NPI number 1528136538
LBN Legal business name Dvorak, Susan J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1528136538 NPPES
Minnesota Other 11ND1DV BCBS MN
Minnesota Other 27352 BCBS MN

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