Shook, Dale R
Shook, Dale R is an individual health care provider with primary practice located at 2301 25Th St S , Fargo ND 58103-6104. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shook, Dale R can be contacted via phone (701) 271-1423.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 3700 | North Dakota |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 3700 | North Dakota |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 3700 | North Dakota |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 3700 | North Dakota |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 3700 | North Dakota |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 3700 | North Dakota |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 3700 | North Dakota |
Profile Details
| NPI number | 1104847326 |
|---|---|
| LBN Legal business name | Shook, Dale R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | May 20th, 2008 - about 16 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 | 1104847326 | NPPES |
| Minnesota | MEDICAID | 025063500 | |
| Minnesota | MEDICAID | 1992123 | |
| Minnesota | MEDICAID | 12366 | |
| Minnesota | Other | 49703SH | |
| Minnesota | Other | SHO000698 |
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