Ryan D Jagim is a Psychoanalysis in Fargo, North Dakota. Ryan D Jagim practices all healthcare services and medical treatments related to Psychoanalysis. The NPI Number for Ryan D Jagim is 1023035797. The last update date is 2010-07-16.
Ryan D Jagim's current location address is 100 4th St S, Fargo, North Dakota. You can contact this provider via phone number 7012344141 and fax number 7012344137. The mailing address for Ryan D Jagim is 100 4th St S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan D Jagim |
|---|---|
| Address | 100 4th St S, Fargo, North Dakota |
| Phone Number | 7012344141 |
| Fax Number | 7012344137 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1023035797 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2010-07-16 |
Provider Mailing Address Detail
| Address | 100 4th St S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581031929 |
| Phone Number | 7012344141 |
| Fax Number | 7012344137 |
Provider's Primary Taxonomy Detail
| Speciality | Psychoanalysis |
|---|---|
| Taxonomy | 103Tp0814X |
| Licence No | LP0537 |
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Definition: A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of un |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16915 | ND | -- | |
| 818548400 | MN | -- |
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What is the unique 10-digit identification code issued to Ryan D Jagim by the Centers for Medicare & Medicaid Services?
The Ryan D Jagim has been assigned the NPI (National Provider Identifier) 1023035797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Ryan D Jagim's physical address?
The Ryan D Jagim is physically located at 100 4Th St S, in the city of Fargo, ND, with the postal code 581031929.
What is the area of specialization for Ryan D Jagim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ryan D Jagim is Psychoanalysis, and the corresponding taxonomy code that categorizes this area of expertise is 103Tp0814X.
On what date was the 1023035797 assigned to Ryan D Jagim?
The Ryan D Jagim was issued its 1023035797 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ryan D Jagim most recently updated or revised?
The information pertaining to Ryan D Jagim, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-16.