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Contact Information

MOHAMED CHEBACLO, MD
1000 S COLUMBIA RD
GRAND FORKS, ND58201-4032
 Phone: 701-780-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOHAMED CHEBACLO · (Male)

NPI Number 1386708931
Status Active
Credentials MD
Entity Individual
Enumeration date 12/20/2006
Last updated 10/23/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 8707
Hospital affiliation(s)
  • BELOIT MEMORIAL HSPTL - (Acute Care)
    1969 W HART RD
    BELOIT, WI 53511
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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