Wold, Terrie Jo A
Wold, Terrie Jo A is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wold, Terrie Jo A can be contacted via phone (701) 234-8880.Contact Information
Primary practice address
2400 32Nd Ave S
Fargo ND 58103-5800
Phone: (701) 234-8880
Fax: (701) 234-8995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PAC0133 | North Dakota |
Profile Details
| NPI number | 1053332395 |
|---|---|
| LBN Legal business name | Wold, Terrie Jo A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Oct 18th, 2012 - about 14 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 | 1053332395 | NPPES |
| North Dakota | MEDICAID | 71095 |
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