Vaagen, Jeffrey Lee

Vaagen, Jeffrey Lee is an individual health care provider with primary practice located at 800 S Main Ave , Rugby ND 58368-2118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vaagen, Jeffrey Lee can be contacted via phone (701) 776-5261.

Contact Information

Primary practice address
800 S Main Ave Rugby ND 58368-2118
Phone: (701) 776-5261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7344 North Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7344 North Dakota

Profile Details

NPI number 1518044577
LBN Legal business name Vaagen, Jeffrey Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 19 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 1518044577 NPPES
North Dakota MEDICAID 18708

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