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Contact Information

LEIGHTON J MOHL, DO
5225 23RD AVE S
FARGO, ND58104-7927
 Phone: 612-626-6519
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurocritical Care

2084A2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LEIGHTON J MOHL · (Male)

NPI # 1245554633
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/15/2010
Last updated 09/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • ND License # PT17473
Hospital affiliation(s)
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
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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