Hendrickson, Jodi Denee

Hendrickson, Jodi Denee is an individual health care provider with primary practice located at 3060 Frontier Way , Fargo ND 58104-8909. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Hendrickson, Jodi Denee can be contacted via phone (701) 232-2340.

Contact Information

Primary practice address
3060 Frontier Way Fargo ND 58104-8909
Phone: (701) 232-2340
Fax: (701) 232-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1431 North Dakota

Profile Details

NPI number 1275680720
LBN Legal business name Hendrickson, Jodi Denee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Feb 15th, 2012 - about 13 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 1275680720 NPPES
North Dakota Other 28235 BCBS ALL STATES
North Dakota MEDICAID 51421 BCBS ALL STATES
North Dakota Other 64-07780 BCBS ALL STATES
North Dakota Other HP78396 BCBS ALL STATES
North Dakota Other 1083461 BCBS ALL STATES
North Dakota Other 28235 BCBS ALL STATES
North Dakota Other A016 BCBS ALL STATES

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