Ellingson, Lori
Ellingson, Lori is an individual health care provider with primary practice located at 1240 25Th St S , Fargo ND 58103-2367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellingson, Lori can be contacted via phone (701) 241-1360.Contact Information
Primary practice address
1240 25Th St S
Fargo ND 58103-2367
Phone: (701) 241-1360
Fax: (701) 241-8559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R23711 | North Dakota |
Profile Details
| NPI number | 1396820452 |
|---|---|
| LBN Legal business name | Ellingson, Lori |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Oct 8th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396820452 | NPPES |
| Minnesota | MEDICAID | 264304900 | |
| Minnesota | Other | 167M7LA | |
| Minnesota | Other | 19638 |
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