Schock, Joel Floyd

Schock, Joel Floyd is an individual health care provider with primary practice located at 3290 20Th St S , Fargo ND 58104-5917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schock, Joel Floyd can be contacted via phone (701) 499-4800.

Contact Information

Primary practice address
3290 20Th St S Fargo ND 58104-5917
Phone: (701) 499-4800
Fax: (701) 451-9452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29157 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4892 North Dakota

Profile Details

NPI number 1790789576
LBN Legal business name Schock, Joel Floyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 15th, 2010 - 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 1790789576 NPPES
Minnesota Other 068K7SC MN BLUE SHIELD
Minnesota MEDICAID 892937800 MN BLUE SHIELD
Minnesota Other SCH23164 MN BLUE SHIELD
Minnesota MEDICAID 16541 MN BLUE SHIELD
Minnesota Other P00057347 MN BLUE SHIELD

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