Evenson, Gabriel T

Evenson, Gabriel T is an sole proprietor health care provider with primary practice located at 3321 4Th Ave. S Suite D, Fargo ND 58103. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Evenson, Gabriel T can be contacted via phone (701) 200-8181.

Contact Information

Primary practice address
3321 4Th Ave. S Suite D Fargo ND 58103
Phone: (701) 200-8181
Fax: (701) 365-8585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 995 North Dakota

Profile Details

NPI number 1083742597
LBN Legal business name Evenson, Gabriel T
Credentials MOTRL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 18th, 2007 - about 19 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 1083742597 NPPES
North Dakota Other 27813 BLUE CROSS BLUE SHIELD OF

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