Gilbertson, Roger L

Gilbertson, Roger L is an individual health care provider with primary practice located at 737 Broadway , Fargo ND 58122-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gilbertson, Roger L can be contacted via phone (701) 234-6960.

Contact Information

Primary practice address
737 Broadway Fargo ND 58122-0001
Phone: (701) 234-6960
Fax: (701) 234-6979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 3152 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16575 Minnesota

Profile Details

NPI number 1598792939
LBN Legal business name Gilbertson, Roger L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 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 1598792939 NPPES
Other 4617 NDBC
Other HP10479 NDBC
MEDICAID 12364 NDBC
Other 1624696 NDBC
Other 895001 NDBC
Other 90926GI NDBC

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