Ivesdal, Heidi

Ivesdal, Heidi is an individual health care provider with primary practice located at 500 10Th Ave E , West Fargo ND 58078-3060. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ivesdal, Heidi can be contacted via phone (701) 356-2030.

Contact Information

Primary practice address
500 10Th Ave E West Fargo ND 58078-3060
Phone: (701) 356-2030
Fax: (701) 356-2039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1064 North Dakota

Profile Details

NPI number 1366614190
LBN Legal business name Ivesdal, Heidi
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 2008 - about 17 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 1366614190 NPPES
North Dakota MEDICAID 50880

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