MARJORIE K TRIEBOLD PAC NPI 1619922531

NPI Information

NPI: 1619922531
Provider Name: MARJORIE K TRIEBOLD, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
401 3RD ST SE
JAMESTOWN, ND
ZIP 58401
Phone: (701) 253-5300
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Marjorie K Triebold, PAC is a medical physician assistant in Jamestown, ND. Marjorie K Triebold, PAC NPI is 1619922531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 3RD ST SE
JAMESTOWN, ND
ZIP 58401-247
Phone: (701) 253-5300
Fax: (701) 253-5402

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/23/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PAC0188	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	142353	OTHER	NORTH DAKOTA	UCARE #
2	31Q26TR	OTHER	NORTH DAKOTA	MNBS #
3	HP38589	OTHER	NORTH DAKOTA	HEALTHPARTNERS #
4	540698600	MEDICAID	NORTH DAKOTA
5	0111506	OTHER	NORTH DAKOTA	MEDICA #
6	713112	MEDICARE PIN	NORTH DAKOTA
7	DA9061015526	OTHER	NORTH DAKOTA	PREFERRED ONE #
8	S49483	MEDICARE UPIN	NORTH DAKOTA
9	15511	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
10	970005163	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RR MEDICARE #

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: 4/28/2024

NPI Synchronization or Removal

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