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Contact Information

SAMUEL J VAAGEN, PA-C
2400 32ND AVE S
FARGO, ND58103-5800
 Phone: 701-234-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SAMUEL J VAAGEN · (Male)

NPI Number 1164603783
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/26/2007
Last updated 05/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10359
  • ND License # PAC0567
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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