Kensok, Shari Lyn

Kensok, Shari Lyn is an individual health care provider with primary practice located at 3051 25Th St S Ste K-2, Fargo ND 58103. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kensok, Shari Lyn can be contacted via phone (701) 234-0766.

Contact Information

Primary practice address
3051 25Th St S Ste K-2 Fargo ND 58103
Fax: (701) 234-0769
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 493 North Dakota
Eye and Vision Services Providers / Optometrist 152W00000X 2313 Minnesota

Profile Details

NPI number 1366548752
LBN Legal business name Kensok, Shari Lyn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 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 1366548752 NPPES
North Dakota MEDICAID 60421

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