Madsen, Shane Jorgen

Madsen, Shane Jorgen is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Madsen, Shane Jorgen can be contacted via phone (701) 234-5121.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-5121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301088649 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11233 North Dakota

Profile Details

NPI number 1669693982
LBN Legal business name Madsen, Shane Jorgen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Mar 29th, 2022 - about 3 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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