National Provider Identifier Database

CAROL GRETTUM, CP, CPED – NPI #1730863937
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

CAROL GRETTUM, CP, CPED
FARGO VA HEALTHCARE SYSTEM
2101 ELM STREET N
FARGO, ND58102
Phone: 701-239-3700
Fax: 701-239-3721
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Pedorthist 224L00000X

* Indicates primary specialty

NPI Profile & details for CAROL GRETTUM

NPI Number 1730863937
Credentials CP, CPED
Entity Individual
Enumeration date 06/09/2023
Last updated 06/09/2023 - About 3 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

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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