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Contact Information

NWACHAN I NDI
3704 42ND ST S APT 201
FARGO, ND58104-7935
 Phone: 701-885-1187
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
 

Adult Companion

372600000X
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for NWACHAN I NDI · (Male)

NPI Number 1992660278
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2025
Last updated 12/18/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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