Quanrud, Myra J

Quanrud, Myra J is an individual health care provider with primary practice located at 401 3Rd St Se , Jamestown ND 58401-4247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Quanrud, Myra J can be contacted via phone (701) 253-5300.

Contact Information

Primary practice address
401 3Rd St Se Jamestown ND 58401-4247
Phone: (701) 253-5300
Fax: (701) 253-5402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 70000 North Dakota

Profile Details

NPI number 1598705758
LBN Legal business name Quanrud, Myra J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 29th, 2011 - about 15 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 1598705758 NPPES
North Dakota MEDICAID 18047
North Dakota MEDICAID 772827100
North Dakota Other ND100023
North Dakota Other 12426
North Dakota Other 142318
North Dakota Other HP19572
North Dakota Other 14494
North Dakota Other 370020540
North Dakota Other 00A25QU
North Dakota Other 1201183
North Dakota Other 908075
North Dakota Other 5T219QU
North Dakota Other DA9061015621

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