Erie, John K
Erie, John K is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Erie, John K can be contacted via phone (701) 364-8000.Contact Information
Primary practice address
3000 32Nd Ave S
Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4472 | South Dakota |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 6387 | North Dakota |
Profile Details
| NPI number | 1336189539 |
|---|---|
| LBN Legal business name | Erie, John K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336189539 | NPPES |
| South Dakota | MEDICAID | 5700110 | |
| South Dakota | MEDICAID | 511493 | |
| South Dakota | MEDICAID | 179503100 | |
| South Dakota | Other | 0005830 | |
| South Dakota | Other | 56P30ER | |
| South Dakota | MEDICAID | 713966 |
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