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Contact Information

KRISTIN F ENGSTROM, O.D. PC
3757 55TH AVE S
FARGO, ND58104
 Phone: 701-356-1277
 Fax: 701-356-1279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KRISTIN F ENGSTROM, O.D. PC

NPI # 1073840336
LBN Legal business name KRISTIN F ENGSTROM, O.D. PC
Authorized official KRISTIN ENGSTROM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2009
Last updated 11/06/2009 - About 17 years ago
Identifiers
ND License # 582
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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