Jackson W Lind Llc

LBN: Jackson W Lind Llc
Jackson W Lind Llc is an health care organization with primary practice located at 2301 25Th St S Suite I, Fargo ND 58103-6104. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as the primary health care specialty. Jackson W Lind Llc can be contacted via phone (701) 241-9300, or through Lind, Jackson W via phone (701) 241-9300.

Contact Information

Primary practice address
2301 25Th St S Suite I Fargo ND 58103-6104
Phone: (701) 241-9300
Fax: (701) 235-4525
Website:
Map and Directions
Authorized official contact:
Name: Lind, Jackson W Doctor of Medicine (MD)
Phone: (701) 241-9300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 2756 North Dakota

Profile Details

NPI number 1427245372
LBN Legal business name Jackson W Lind Llc
DBA Doing business as
Authorized official Lind, Jackson W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2007
Last updated Oct 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427245372 NPPES
North Dakota MEDICAID 18654

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