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Contact Information

MARC L ENGELBREKTSON, C.R.N.A.
2585 23RD AVE S
STE A.
FARGO, ND58103
 Phone: 701-478-4404
 Fax: 701-478-4407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for MARC L ENGELBREKTSON · (Male)

NPI # 1710006887
Status Active
Credentials C.R.N.A.
Entity Individual
Enumeration date 03/28/2007
Last updated 04/09/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 036098
  • MN Medicaid 488843000
  • ND Medicaid 12355
  • ND Other 24266 BLUE CROSS BLUE SHIELD
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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