Jason Allen Burud is a Sports in Fargo, North Dakota. Jason Allen Burud practices all healthcare services and medical treatments related to Sports. The NPI Number for Jason Allen Burud is 1912112814. The last update date is 2008-09-08.
Jason Allen Burud's current location address is 1609 29th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012418516. The mailing address for Jason Allen Burud is 1609 29th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Allen Burud |
|---|---|
| Address | 1609 29th Ave S, Fargo, North Dakota |
| Phone Number | 7012418516 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T.,D.P.T |
NPI Number Detail
| NPI Number | 1912112814 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 1609 29th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581035922 |
| Phone Number | 7012418516 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 952 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique identification code assigned to Jason Allen Burud by the Centers for Medicare & Medicaid Services?
The Jason Allen Burud has been issued the NPI (National Provider Identifier) 1912112814. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jason Allen Burud's physical address?
The Jason Allen Burud is physically located at 1609 29Th Ave S, in the city of Fargo, ND, with the postal code 581035922.
What is Jason Allen Burud's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason Allen Burud is Sports, and the corresponding taxonomy classification code for this specialized field is 2251S0007X.
On what date did the Jason Allen Burud receive the assignment of its 1912112814 from the Centers for Medicare & Medicaid Services?
The Jason Allen Burud was issued its 1912112814 by the Centers for Medicare & Medicaid Services on 2007-05-14.
When was the information related to Jason Allen Burud most recently updated or refreshed?
The details pertaining to the Jason Allen Burud, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-08.
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