Reese, Judith L
Reese, Judith L is an individual health care provider with primary practice located at 4656 40Th Ave S , Fargo ND 58104-4397. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Reese, Judith L can be contacted via phone (701) 234-8860.Contact Information
Primary practice address
4656 40Th Ave S
Fargo ND 58104-4397
Phone: (701) 234-8860
Fax: (701) 234-8924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | PAC0352 | North Dakota |
Profile Details
| NPI number | 1932126919 |
|---|---|
| LBN Legal business name | Reese, Judith L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Oct 17th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932126919 | NPPES |
| North Dakota | MEDICAID | 71075 |
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