National Provider Identifier Database

MILESTONE THERAPEUTICS INC
Rehabilitation

Contact Information

MILESTONE THERAPEUTICS INC
921 43RD AVE N
FARGO, ND  58102-5320
Phone: 701-793-3646
Fax: 701-293-6892
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for MILESTONE THERAPEUTICS INC

NPI Number 1861540064
Legal business name
LBN		 MILESTONE THERAPEUTICS INC
Authorized official STEPHEN OLSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/07/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Other: 371G1MI BCBS MN PROVIDER NUMBER
  • ND Other: 6345001 BCBS ND CLINIC NUMBER
  • ND Other: 371G1MI EPNI PROVIDER NUMBER
  • ND Other: 107041 HEALTH PARTNERS PROV. #
  • ND Other: 64-05519 MEDICA PROVIDER NUMBER
  • ND Other: 54893 ND MA PROVIDER NUMBER
  • ND Other: 1042648 PREFERRED ONE PROV. NUM.

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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