Stasko, Andrew John

Stasko, Andrew John is an individual health care provider with primary practice located at 332 2Nd Ave N , Wahpeton ND 58075-4528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stasko, Andrew John can be contacted via phone (701) 642-7000.

Contact Information

Primary practice address
332 2Nd Ave N Wahpeton ND 58075-4528
Phone: (701) 642-7000
Fax: (701) 642-7055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0057295 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 10708 North Dakota

Profile Details

NPI number 1265516439
LBN Legal business name Stasko, Andrew John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 8th, 2022 - about 4 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 1265516439 NPPES
North Carolina Other 30107 ND BCBS
North Carolina MEDICAID 511208700 ND BCBS
North Carolina MEDICAID 14398 ND BCBS
North Carolina MEDICAID 248487100 ND BCBS
North Carolina Other 1052517 ND BCBS
North Carolina Other PENDING ND BCBS
North Carolina Other HP84016 ND BCBS

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