Iverson, Godela R

Iverson, Godela R is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Iverson, Godela R 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 3278 North Dakota
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 28275 Minnesota

Profile Details

NPI number 1770513970
LBN Legal business name Iverson, Godela R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 9th, 2007 - about 18 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 1770513970 NPPES
North Dakota Other 1022 NDBS #
North Dakota Other 91481IV NDBS #
North Dakota Other 4864 NDBS #
North Dakota Other 142019 NDBS #
North Dakota Other 2580 NDBS #
North Dakota Other DA9011015543 NDBS #
North Dakota MEDICAID 12383 NDBS #
North Dakota Other ND200028 NDBS #
North Dakota Other 10750 NDBS #
North Dakota Other 902104 NDBS #
North Dakota Other 9200082 NDBS #
North Dakota Other HP25778 NDBS #
North Dakota Other 50168IV NDBS #
North Dakota Other 9200119 NDBS #

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