Koivula, Mark E

Koivula, Mark E is an individual health care provider with primary practice located at 516 Main St , Bottineau ND 58318-1203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Koivula, Mark E can be contacted via phone (701) 534-0109.

Contact Information

Primary practice address
516 Main St Bottineau ND 58318-1203
Phone: (701) 534-0109
Fax: (866) 640-0723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R26131 North Dakota

Profile Details

NPI number 1265660740
LBN Legal business name Koivula, Mark E
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Mar 18th, 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 1265660740 NPPES
North Dakota Other R26131 ND FNP LICENSE #
North Dakota MEDICAID 1454625 ND FNP LICENSE #

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