National Provider Identifier Database

STEPHANIE I BURNSIDE
Histology


Contact Information

STEPHANIE I BURNSIDE
2101 ELM ST N
FARGO, ND58102-2417
Phone: 701-232-3241
Fax: 701-237-2680
Website:
Specialty Taxonomy Code
* Histology 246RH0600X

* Indicates primary specialty

NPI Profile & details for STEPHANIE I BURNSIDE

NPI Number 1437975919
Credentials
Entity Individual
Enumeration date 11/29/2024
Last updated 11/29/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • ND License #: 25604048
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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