Schock, Joel Floyd
Schock, Joel Floyd is an individual health care provider with primary practice located at 3290 20Th St S , Fargo ND 58104-5917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Schock, Joel Floyd can be contacted via phone (701) 499-4800.Contact Information
Primary practice address
3290 20Th St S
Fargo ND 58104-5917
Phone: (701) 499-4800
Fax: (701) 451-9452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29157 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4892 | North Dakota |
Profile Details
| NPI number | 1790789576 |
|---|---|
| LBN Legal business name | Schock, Joel Floyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Oct 15th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790789576 | NPPES |
| Minnesota | Other | 068K7SC | MN BLUE SHIELD |
| Minnesota | MEDICAID | 892937800 | MN BLUE SHIELD |
| Minnesota | Other | SCH23164 | MN BLUE SHIELD |
| Minnesota | MEDICAID | 16541 | MN BLUE SHIELD |
| Minnesota | Other | P00057347 | MN BLUE SHIELD |
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