National Provider Identifier Database

DALE R SHOOK, MD – NPI #1104847326
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

DALE R SHOOK, MD
2301 25TH ST S
FARGO, ND  58103-6104
Phone: 701-271-1423
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Radiology 2085N0904X
Pediatric Radiology 2085P0229X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for DALE R SHOOK

NPI Number 1104847326
Credentials MD
Entity Individual
Enumeration date 07/22/2006
Last updated 05/20/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • ND License #: 3700
  • IA Medicaid: 1992123
  • MN Medicaid: 025063500
  • ND Medicaid: 12366
  • MN Other: 49703SH BC/BS
  • ND Other: SHO000698 BC/BS OF ND
Hospital affiliation n/a

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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