Stavenger, Jeffrey Paul

Stavenger, Jeffrey Paul is an individual health care provider with primary practice located at 2301 25Th St S , Fargo ND 58103-6104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stavenger, Jeffrey Paul can be contacted via phone (701) 237-9712.

Contact Information

Primary practice address
2301 25Th St S Fargo ND 58103-6104
Phone: (701) 237-9712
Fax: (701) 237-0922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5070 North Dakota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 28822 Minnesota

Profile Details

NPI number 1659322865
LBN Legal business name Stavenger, Jeffrey Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 16th, 2011 - about 13 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 1659322865 NPPES
North Dakota MEDICAID 16967

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