Roise, Douglas A

Roise, Douglas A is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Roise, Douglas A 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 / Clinical Pathology/Laboratory Medicine 207ZP0105X 4957 North Dakota

Profile Details

NPI number 1205854080
LBN Legal business name Roise, Douglas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 18th, 2012 - 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 1205854080 NPPES
North Dakota Other 142059 UCARE #
North Dakota MEDICAID 14544 UCARE #
North Dakota Other 12352 UCARE #
North Dakota Other 88D16RO UCARE #
North Dakota Other HP38337 UCARE #
North Dakota Other 1100119 UCARE #
North Dakota MEDICAID 17475 UCARE #
North Dakota Other 1012767 UCARE #
North Dakota Other 19107 UCARE #
North Dakota Other DA9011026994 UCARE #
North Dakota Other 1100125 UCARE #
North Dakota MEDICAID 213627900 UCARE #

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