Rostvold, James David

Rostvold, James David is an individual health care provider with primary practice located at 1043 E Highway 169 , Grand Rapids MN 55744. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rostvold, James David can be contacted via phone (218) 326-2560.

Contact Information

Primary practice address
1043 E Highway 169 Grand Rapids MN 55744
Phone: (218) 326-2560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 09461 Minnesota

Profile Details

NPI number 1386712537
LBN Legal business name Rostvold, James David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Sep 15th, 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 1386712537 NPPES
Minnesota MEDICAID 872720100

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