Engstrom, James William

Engstrom, James William is an individual health care provider with primary practice located at 2101 Elm St N , Fargo ND 58102-2417. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Engstrom, James William can be contacted via phone (701) 239-3700.

Contact Information

Primary practice address
2101 Elm St N Fargo ND 58102-2417
Phone: (701) 239-3700
Fax: (701) 237-2683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2579 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 581 North Dakota

Profile Details

NPI number 1407967623
LBN Legal business name Engstrom, James William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 18th, 2013 - about 13 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 1407967623 NPPES
Minnesota MEDICAID 430628700

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