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Contact Information

JOHN B ANDELIN MD PC
1301 15TH AVE W
WILLISTON, ND58801-3821
 Phone: 701-572-3800
 Fax: 701-774-7402
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JOHN B ANDELIN MD PC

NPI Number 1821248477
LBN Legal business name JOHN B ANDELIN MD PC
Authorized official JOHN ANDELIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2008
Last updated 09/19/2008 - About 18 years ago
Identifiers
ND License # 5162
MT Medicaid APPLIED FOR
ND Medicaid APPLIED FOR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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