Vistad, William Kent

Vistad, William Kent is an individual health care provider with primary practice located at 825 17Th Ave E , West Fargo ND 58078-4274. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Vistad, William Kent can be contacted via phone (701) 356-2090.

Contact Information

Primary practice address
825 17Th Ave E West Fargo ND 58078-4274
Phone: (701) 356-2090
Fax: (701) 356-2099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 539 North Dakota

Profile Details

NPI number 1740451871
LBN Legal business name Vistad, William Kent
Credentials O.T.R./L.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 17th, 2008 - about 17 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 1740451871 NPPES
North Dakota MEDICAID 59797

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