Lystad, Jeffrey K

Lystad, Jeffrey K is an individual health care provider with primary practice located at 2301 25Th St S , Fargo ND 58103-6104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lystad, Jeffrey K can be contacted via phone (701) 237-9712.

Contact Information

Primary practice address
2301 25Th St S Fargo ND 58103-6104
Phone: (701) 237-9712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 7448 North Dakota

Profile Details

NPI number 1710904487
LBN Legal business name Lystad, Jeffrey K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 29th, 2011 - about 13 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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