Stallman, Donald J

Stallman, Donald J is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Stallman, Donald J can be contacted via phone (701) 234-2406.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-2406
Fax: (701) 234-6072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 7467 North Dakota

Profile Details

NPI number 1386665503
LBN Legal business name Stallman, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 18th, 2024 - about 8 months 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 1386665503 NPPES
North Dakota MEDICAID 81407
North Dakota MEDICAID 359719900
North Dakota MEDICAID 81403
North Dakota MEDICAID 18765
North Dakota MEDICAID 81404
North Dakota MEDICAID 81406
North Dakota MEDICAID 81402
North Dakota MEDICAID 81405

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