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Contact Information

DRS MOEN ENDERLE AND KREIN PC
211 4TH ST NE STE 1
DEVILS LAKE, ND58301-2479
 Phone: 701-662-2040
 Fax: 701-662-2040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DRS MOEN ENDERLE AND KREIN PC

NPI # 1598944373
LBN Legal business name DRS MOEN ENDERLE AND KREIN PC
Authorized official BLAINE BURDICK - (OPTOMETRIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/30/2007
Last updated 03/05/2024 - About 2 years ago
Identifiers
ND License # 675
ND Medicaid 60570
ND Medicaid 60678
ND Other N70449 MEDICARE ID GROUP
ND Other 893212 VSI
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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