Fjelstad Kjelstrup, Diane Adele

Fjelstad Kjelstrup, Diane Adele is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Fjelstad Kjelstrup, Diane Adele can be contacted via phone (701) 234-4141.

Contact Information

Primary practice address
100 4Th St S Fargo ND 58103-1929
Phone: (701) 234-4141
Fax: (701) 234-4137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 10846 North Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 50501 Minnesota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 7025 South Dakota
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 10846 North Dakota

Profile Details

NPI number 1306036017
LBN Legal business name Fjelstad Kjelstrup, Diane Adele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2007
Last updated Feb 8th, 2021 - about 3 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 1306036017 NPPES
North Dakota MEDICAID 14891

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