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AESTHETIC CENTER OF PLASTIC SURGERY NPI 1033306998


NPI Information

NPI: 1033306998
Provider Name: AESTHETIC CENTER OF PLASTIC SURGERY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
115 W CENTURY AVE
SUITE B
BISMARCK, ND
ZIP 58503
Phone: (701) 255-3311
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AESTHETIC CENTER OF PLASTIC SURGERY is a specialist in Bismarck, ND. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AESTHETIC CENTER OF PLASTIC SURGERY NPI is 1033306998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 W CENTURY AVE
SUITE B
BISMARCK, ND
ZIP 58503-403
Phone: (701) 255-3311
Fax: (701) 255-2255

The provider's authorized official is Rick L Paulson .
The authorized official title is Physician and has the following contact phone number (701) 255-3311.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 10/4/2007.


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
1174400000XSpecialistBP4905482NORTH 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
118780MEDICARE PINNORTH DAKOTA
218831MEDICAIDNORTH 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: 4/28/2024

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