Jodi Denee Hendrickson in Fargo - Pediatrics
Jodi Denee Hendrickson - NPI 1275680720
Jodi Denee Hendrickson is a Pediatrics in Fargo, North Dakota. Jodi Denee Hendrickson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jodi Denee Hendrickson is 1275680720. The last update date is 2012-02-15.
Jodi Denee Hendrickson's current location address is 4272 Auburn Ave, Fargo, North Dakota. You can contact this provider via phone number 7018936776. The mailing address for Jodi Denee Hendrickson is 4272 Auburn Ave, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi Denee Hendrickson |
|---|---|
| Address | 4272 Auburn Ave, Fargo, North Dakota |
| Phone Number | 7018936776 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1275680720 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2012-02-15 |
Provider Mailing Address Detail
| Address | 4272 Auburn Ave |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581048428 |
| Phone Number | 7018936776 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1431 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28235 | ND | BCBS ALL STATES | |
| 51421 | ND | -- | |
| 64-07780 | MEDICA/UNITED HEALTH | ||
| HP78396 | HEALTH PARTNERS CIGNA | ||
| 1083461 | COVENTRY | ||
| 28235 | NORIDIAN BPA | ||
| A016 | ND | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Jodi Denee Hendrickson by the Centers for Medicare & Medicaid Services?
The Jodi Denee Hendrickson has been assigned the NPI (National Provider Identifier) 1275680720. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jodi Denee Hendrickson's facilities are geographically located?
The facilities of Jodi Denee Hendrickson are physically situated at the following location: 4272 Auburn Ave, Fargo, ND, 581048428.
What is Jodi Denee Hendrickson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jodi Denee Hendrickson is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275680720 to Jodi Denee Hendrickson?
The Jodi Denee Hendrickson received its 1275680720 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information related to Jodi Denee Hendrickson most recently updated or refreshed?
The details pertaining to the Jodi Denee Hendrickson, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-15.