Cleveland, Chris L

Cleveland, Chris L is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Cleveland, Chris L can be contacted via phone (701) 234-2660.

Contact Information

Primary practice address
2400 32Nd Ave S Fargo ND 58103-5800
Phone: (701) 234-2660
Fax: (701) 234-8796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 12914 North Dakota

Profile Details

NPI number 1982693875
LBN Legal business name Cleveland, Chris L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 29th, 2022 - about 4 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 1982693875 NPPES
Colorado MEDICAID 09727868
Colorado MEDICAID 18308
Colorado MEDICAID 18277

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