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Contact Information

PHIL J REISENAUER, MT
188 OSBORN DR
DICKINSON, ND58601-3960
 Phone: 701-225-3906
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for PHIL J REISENAUER · (Male)

NPI Number 1437427614
Status Active
Credentials MT
Entity Individual
Enumeration date 12/02/2011
Last updated 12/02/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ND License # 93
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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