Cassidy, Michael L

Cassidy, Michael L is an individual health care provider with primary practice located at 2500 Fairway St , Dickinson ND 58601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cassidy, Michael L can be contacted via phone (701) 456-4000.

Contact Information

Primary practice address
2500 Fairway St Dickinson ND 58601
Phone: (701) 456-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5054A North Dakota

Profile Details

NPI number 1558381939
LBN Legal business name Cassidy, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 1st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558381939 NPPES
North Dakota MEDICAID 1454455

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