Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 12264 | ND |
NPI | 1013131325 |
---|---|
Provider Name | Dr. Jason M Erpelding |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Fargo, ND 58103-4940 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 29/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5499 | TEP (01) | NE |