Karlstad, Gary L.

Karlstad, Gary L. is an individual health care provider with primary practice located at 3035 Demers Ave , Grand Forks ND 58201-4018. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Karlstad, Gary L. can be contacted via phone (701) 775-3151.

Contact Information

Primary practice address
3035 Demers Ave Grand Forks ND 58201-4018
Phone: (701) 775-3151
Fax: (701) 775-3153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4071 North Dakota

Profile Details

NPI number 1457356099
LBN Legal business name Karlstad, Gary L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 8th, 2007 - 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 1457356099 NPPES
North Dakota Other 1801 ND BLUE SHIELD
North Dakota MEDICAID 12809 ND BLUE SHIELD

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