Chris Paul Wakefield

Individual provider Active NPI Personal Care Attendant · Harvey, ND

NPI 1639814031 · NPPES record last updated Apr 29, 2022

Key facts

NPI
1639814031
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
420 8TH St W
Harvey, ND 58341-1406
Phone
(701) 399-0501
NPI assigned
Apr 29, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

420 8TH St W
Harvey, ND 58341-1406

Mailing address

2774 17TH St NE
Harvey, ND 58341-9346
Phone (701) 399-0501

Other providers in Harvey, ND

All providers in Harvey, ND · Personal Care Attendant in North Dakota

Sources for this page

Verify at the official NPI Registry.