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Contact Information

LUKE J GOTTA, PA-C
2400 32ND AVE S
FARGO, ND58103
 Phone: 701-234-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LUKE J GOTTA · (Male)

NPI # 1306338496
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/04/2018
Last updated 07/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ND License # PAC0731
Hospital affiliation(s)
  • PERHAM MEMORIAL HOSPITAL & HOME - (Critical Access)
    1000 CONEY STREET WEST
    PERHAM, MN 56573
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
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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