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Contact Information

LINDA DUPPONG, PA-C
602 ASH AVE
GLEN ULLIN, ND58631
 Phone: 701-348-9175
 Fax: 701-348-9177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LINDA DUPPONG · (Female)

NPI # 1053399436
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • ND License # PA0021
  • ND Medicaid 10485
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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