Rostvold, James David
Rostvold, James David is an individual health care provider with primary practice located at 1043 E Highway 169 , Grand Rapids MN 55744. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rostvold, James David can be contacted via phone (218) 326-2560.Contact Information
Primary practice address
1043 E Highway 169
Grand Rapids MN 55744
Phone: (218) 326-2560
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 09461 | Minnesota |
Profile Details
NPI number | 1386712537 |
---|---|
LBN Legal business name | Rostvold, James David |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 4th, 2006 |
Last updated | Sep 15th, 2009 - about 15 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 | 1386712537 | NPPES |
Minnesota | MEDICAID | 872720100 |
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