Harstad, Mark Roy
Harstad, Mark Roy is an sole proprietor health care provider with primary practice located at 206 Spruce Ave Ne , Buffalo MN 55313-2517. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Harstad, Mark Roy can be contacted via phone (763) 333-6075.Contact Information
Primary practice address
206 Spruce Ave Ne
Buffalo MN 55313-2517
Phone: (763) 333-6075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | R201897-7 | Minnesota |
Profile Details
| NPI number | 1023542255 |
|---|---|
| LBN Legal business name | Harstad, Mark Roy |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2017 |
| Last updated | Apr 13th, 2017 - about 7 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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