Sontak Family Clinic Pllc | |
4023 State St Ste 60 Bismarck ND 58503-0690 | |
(701) 390-2431 | |
Not Available |
Full Name | Sontak Family Clinic Pllc |
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Speciality | Clinic/Center |
Location | 4023 State St Ste 60, Bismarck, North Dakota |
Authorized Official Name and Position | Sonia Takacs (PROVIDER) |
Authorized Official Contact | 7017511281 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sontak Family Clinic Pllc 4023 State St Ste 60 Bismarck ND 58503-0690 Ph: () - | Sontak Family Clinic Pllc 4023 State St Ste 60 Bismarck ND 58503-0690 Ph: (701) 390-2431 |
NPI Number | 1174138507 |
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Provider Enumeration Date | 09/11/2020 |
Last Update Date | 11/04/2020 |
Medicare PECOS PAC ID | 8123430691 |
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Medicare Enrollment ID | O20201208001097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174138507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Sonia D Takacs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447804679 PECOS PAC ID: 9931430089 Enrollment ID: I20191003003715 |
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