Jaroslaw Mateuszczyk
Internist Critical Care Medicine
3000 32nd Ave S
Fargo
, North Dakota 58103-6132
Jaroslaw Mateuszczyk
Internist Critical Care Medicine
3000 32nd Ave S
Fargo
, North Dakota 58103-6132
(701) 364-8078
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About
Features
Specialties
- Internist
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Jaroslaw Mateuszczyk
- Po Box 6001
- Fargo, ND
- Zip : 58108-6001
- Fax : (701) 364-8078
- Phone : (701) 364-8000
Second Address
- Jaroslaw Mateuszczyk
- 3000 32nd Ave S
- Fargo, ND
- Zip : 58103-6132
- Fax : (701) 364-8078
- Phone : (701) 364-8000
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Is Jaroslaw Mateuszczyk a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 11196 | ND |
| N | 111NI0900X | Internist | 11196 | ND |
| N | 207R00000X | Internist | 4301082045 | MI |
| N | 111NI0900X | Internist | 4301082045 | MI |
| Y | 207RC0200X | Critical Care Medicine | 11196 | ND |
National Provider Identifier
| NPI | 1003997230 |
|---|---|
| Provider Name | Jaroslaw Mateuszczyk |
| First Address | Fargo, ND 58108-6001 |
| Second Address | Fargo, ND 58103-6132 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 26/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10503 | (05) | ND |
| 1458922 | (05) | ND |
| H68057 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.