NPI 1013008028 · live from the CMS NPI Registry
Susan K Falck, PA
Physician Assistant in Fargo, ND. National Provider Identifier 1013008028, active.
NPI record
| NPI | 1013008028 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 700 1st Ave S, Fargo, ND 58103 |
| Practice phone | 701-234-4036 |
| Mailing address | Po Box 2168, Fargo, ND 58107 |
| Enumerated | September 27, 2006 |
| Last updated | October 16, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC0180 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.