PA C Stacey Lee Konzak, NPI 1962486969
Physician Assistant in Bismarck, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1962486969
NPI Entity Type Individual
Provider Name PA C Stacey Lee Konzak
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2900 E Broadway Ave, Bismarck, ND, US
Provider Mailing Address 5713 80th Ave Ne, Devils Lake, ND, US, 583019657
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363A00000X

Taxonomy Name Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. PAC0348
License State ND
Description A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Name

PA-C Stacey Lee Berg
Former Name

Business Address

PA C Stacey Lee Konzak
2900 E Broadway Ave

Bismarck, ND, US

Phone: 701-221-9997

Mailing Address

PA C Stacey Lee Konzak
5713 80th Ave Ne
Devils Lake, ND, US
ZIP 583019657
Phone: 701-303-0263
Fax: 701-395-4456

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363A00000X

Physician Assistants & Advanced Practice Nursing Providers

Physician Assistant

0537 SD No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
6825030 SD MEDICAID 05
71237 ND MEDICAID 05

Other Providers in ND, US

NPI Name Taxonomy Address

1417688698

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LPCC Ashley Vogel

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MS. LCSW Jennifer Kimball Walter

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Organization

Health Service Clinic/Center

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Organization

Counselor

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LPCC Denage Sauve

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Great Kids Therapy, Ltd.

Organization

Occupational Therapist

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DR. DDS Patrick J Capp

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LCSW Erika Louise Lake

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LPCC Megan Tarryn Degenstein

Individual

Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

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