Pankow, Dawn K

Pankow, Dawn K is an individual health care provider with primary practice located at 275 11Th St S , Wahpeton ND 58075-4655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pankow, Dawn K can be contacted via phone (701) 642-2000.

Contact Information

Primary practice address
275 11Th St S Wahpeton ND 58075-4655
Fax: (701) 671-4106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5242 North Dakota

Profile Details

NPI number 1457396822
LBN Legal business name Pankow, Dawn K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 24th, 2011 - about 14 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 1457396822 NPPES
North Dakota Other 0105975 MEDICA #
North Dakota Other DA9051015613 MEDICA #
North Dakota Other 35625 MEDICA #
North Dakota Other 0105974 MEDICA #
North Dakota Other HP19584 MEDICA #
North Dakota Other 142042 MEDICA #
North Dakota Other 676669 MEDICA #
North Dakota Other ND100018 MEDICA #
North Dakota Other 13254PA MEDICA #
North Dakota MEDICAID 15069 MEDICA #
North Dakota Other 2208 MEDICA #
North Dakota MEDICAID 855577000 MEDICA #
North Dakota Other 33Q41PA MEDICA #

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