Jystad, Philip

Jystad, Philip is an individual health care provider with primary practice located at 2422 20Th St Sw , Jamestown ND 58401-6201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jystad, Philip can be contacted via phone (701) 252-1050.

Contact Information

Primary practice address
2422 20Th St Sw Jamestown ND 58401-6201
Phone: (701) 252-1050
Fax: (701) 952-3265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5832 North Dakota

Profile Details

NPI number 1447213202
LBN Legal business name Jystad, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Aug 5th, 2011 - about 14 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 1447213202 NPPES
North Dakota Other 10973 BLUE CROSS
North Dakota MEDICAID 16445 BLUE CROSS
North Dakota Other 3941009 BLUE CROSS
North Dakota Other HP42318 BLUE CROSS
North Dakota Other 449161007916 BLUE CROSS

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