Perencevic, Boris M

Perencevic, Boris M is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Perencevic, Boris M can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 8983 North Dakota
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 8983 North Dakota

Profile Details

NPI number 1376576975
LBN Legal business name Perencevic, Boris M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 7th, 2023 - about 3 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 1376576975 NPPES
North Dakota Other 61G43PE MNBS #
North Dakota MEDICAID 11876 MNBS #
North Dakota Other 142045 MNBS #
North Dakota Other 2002346 MNBS #
North Dakota Other 22005 MNBS #
North Dakota Other 1631609 MNBS #
North Dakota Other 2001170 MNBS #
North Dakota Other DA9011029846 MNBS #
North Dakota Other HP38336 MNBS #
North Dakota Other ND200234 MNBS #

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