Kaster, Andrea Leigh Nellermoe

Kaster, Andrea Leigh Nellermoe is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kaster, Andrea Leigh Nellermoe can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43686 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13010 North Dakota

Profile Details

NPI number 1033150024
LBN Legal business name Kaster, Andrea Leigh Nellermoe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 7th, 2018 - about 6 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 1033150024 NPPES
Minnesota Other 0114429 MEDICA #
Minnesota MEDICAID 18314 MEDICA #
Minnesota MEDICAID 504199600 MEDICA #
Minnesota Other 0114428 MEDICA #
Minnesota Other 0114436 MEDICA #
Minnesota Other HP39698 MEDICA #
Minnesota Other 71G46KA MEDICA #
Minnesota Other 71G47KA MEDICA #
Minnesota Other 71G48KA MEDICA #
Minnesota Other 137043 MEDICA #
Minnesota Other 1935876 MEDICA #
Minnesota Other 23613 MEDICA #
Minnesota Other DA9041040454 MEDICA #

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