Kallenbach, Christopher G

Kallenbach, Christopher G is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kallenbach, Christopher G can be contacted via phone (701) 234-5015.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-5015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01066294 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4031084280 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11489 North Dakota

Profile Details

NPI number 1649460551
LBN Legal business name Kallenbach, Christopher G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Apr 6th, 2022 - about 2 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 1649460551 NPPES
Indiana Other P00764117 RAILROAD MEDICARE
Indiana MEDICAID 200944030 RAILROAD MEDICARE

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