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PLAINS EAR NOSE THROAT & FACIAL PLASTIC SURGERY PC NPI 1003199829


NPI Information

NPI: 1003199829
Provider Name: PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC

Doing Business As: PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY

Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
2700 12TH AVE S
SUITE D
FARGO, ND
ZIP 58103
Phone: (701) 235-1924
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PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC is a facial plastic surgery otolaryngology in Fargo, ND. The provider is an otolaryngologist who specializes in facial plastic surgery. PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC NPI is 1003199829. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Plains Ear, Nose, Throat & Facial Plastic Surgery.

The provider's business location address is:

2700 12TH AVE S
SUITE D
FARGO, ND
ZIP 58103-723
Phone: (701) 235-1924

The provider's authorized official is Lesley A Soine .
The authorized official title is Owner and has the following contact phone number (701) 235-1924.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 10/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic Surgery10000NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1N717266MEDICARE PINNORTH DAKOTA
2I37802MEDICARE UPINNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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