Alex Daniel Yanish

Individual provider Active NPI Registered Respiratory Therapist · Fargo, ND

NPI 1760121180 · NPPES record last updated Jun 2, 2022

Key facts

NPI
1760121180
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
R-1533 (ND)
Practice address
2101 Elm St N
Fargo, ND 58102-2417
Phone
(701) 232-3241
NPI assigned
Jun 2, 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

State licenses

LicenseStateTypeSpecialty
R-1533NDMDRegistered Respiratory Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X R-1533 ND Yes

Addresses

Primary practice location

2101 Elm St N
Fargo, ND 58102-2417

Mailing address

4837 53Rd St S
Fargo, ND 58104-4292
Phone (701) 739-4021

Other providers in Fargo, ND

All providers in Fargo, ND · Registered Respiratory Therapist in North Dakota

Sources for this page

Verify at the official NPI Registry.