Wold, Jeffrey L
Wold, Jeffrey L 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 Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wold, Jeffrey L can be contacted via phone (701) 280-2212.Contact Information
Primary practice address
2301 25Th St S
Fargo ND 58103-6104
Phone: (701) 280-2212
Fax: (701) 271-1023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 473 | North Dakota |
Profile Details
NPI number | 1578509899 |
---|---|
LBN Legal business name | Wold, Jeffrey L |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Jan 31st, 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 | 1578509899 | NPPES |
North Dakota | Other | P00062409 | RAILROAD MEDICARE |
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