Kooyer, Kurt William
Kooyer, Kurt William is an sole proprietor health care provider with primary practice located at 2829 University Dr S , Fargo ND 58103-6050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kooyer, Kurt William can be contacted via phone (701) 232-9000.Contact Information
Primary practice address
2829 University Dr S
Fargo ND 58103-6050
Phone: (701) 232-9000
Fax: (701) 893-9057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9202 | North Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9202 | North Dakota |
Profile Details
| NPI number | 1063456218 |
|---|---|
| LBN Legal business name | Kooyer, Kurt William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 17th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063456218 | NPPES |
| North Dakota | MEDICAID | 12025 |
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