Brian V Jongeward in Grand Forks - Clinic/center
Brian V Jongeward - NPI 1407909120
Brian V Jongeward is a Clinic/center in Grand Forks, North Dakota. Brian V Jongeward practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Brian V Jongeward is 1407909120. The last update date is 2008-02-21.
Brian V Jongeward's current location address is 2812 17th Ave S Ste C, Grand Forks, North Dakota. You can contact this provider via phone number 7017750223 and fax number 7017380655. The mailing address for Brian V Jongeward is 2812 17th Ave S Ste C, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brian V Jongeward |
|---|---|
| Address | 2812 17th Ave S Ste C, Grand Forks, North Dakota |
| Phone Number | 7017750223 |
| Fax Number | 7017380655 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DOCT |
|---|---|
| Authorized Official Name | Jongeward V Brian |
| Credentials | DC |
| Telephone Number | 7017750223 |
NPI Number Detail
| NPI Number | 1407909120 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
| Address | 2812 17th Ave S Ste C |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582014048 |
| Phone Number | 7017750223 |
| Fax Number | 7017380655 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 611 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18728 | ND | -- | |
| 1407909120 | ND | CLINIC NPI | |
| 1376620831 | ND | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brian V Jongeward by the Centers for Medicare & Medicaid Services?
The Brian V Jongeward has been assigned the NPI (National Provider Identifier) 1407909120 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Brian V Jongeward's physical address?
The Brian V Jongeward is physically located at 2812 17Th Ave S Ste C, in the city of Grand Forks, ND, with the postal code 582014048.
What is Brian V Jongeward's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian V Jongeward's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date did Brian V Jongeward receive its 1407909120 assignment from the Centers for Medicare & Medicaid Services?
The Brian V Jongeward was assigned its 1407909120 on 2007-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brian V Jongeward most recently updated?
The details pertaining to the Brian V Jongeward, including its address, specialty, and other relevant information, were last refreshed on 2008-02-21.