Magelky, Phyllis Jean

Magelky, Phyllis Jean is an individual health care provider with primary practice located at 1112 Nodak Dr S Ste 135 , Fargo ND 58103-8744. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Magelky, Phyllis Jean can be contacted via phone (701) 364-9070.

Contact Information

Primary practice address
1112 Nodak Dr S Ste 135 Fargo ND 58103-8744
Phone: (701) 364-9070
Fax: (701) 364-9071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 320 North Dakota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5882 Minnesota

Profile Details

NPI number 1407968522
LBN Legal business name Magelky, Phyllis Jean
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 22nd, 2009 - about 17 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 1407968522 NPPES
North Dakota Other 27397 BLUE CROSS BLUE SHIELD
North Dakota Other 11674 BLUE CROSS BLUE SHIELD
North Dakota MEDICAID 4043140-00 BLUE CROSS BLUE SHIELD
North Dakota Other 5G158N-MA BLUE CROSS BLUE SHIELD
North Dakota MEDICAID 58789 BLUE CROSS BLUE SHIELD
North Dakota Other 1033438 BLUE CROSS BLUE SHIELD

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