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Contact Information

SHAREHOUSE GENESIS
505 40TH ST S UNIT B
FARGO, ND58103-1184
 Phone: 701-478-8440
 Fax: 651-925-0046
 Website:
Indicates primary specialty

NPI Profile & details for SHAREHOUSE GENESIS

NPI Number 1356576979
LBN Legal business name SHAREHOUSE GENESIS
Authorized official JEREMY TRAEN - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/27/2009
Last updated 02/17/2026 - About 4 months ago
Identifiers
ND License # 1056
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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