Individual
LINDA H ELLLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 ROOSEVELT AVE, MADDOCK, ND 58348-7138
(701) 438-2555
(701) 438-2551
Mailing address
800 3RD AVE SW, RUGBY, ND 58368-1645
(701) 776-5235
(701) 776-5297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0023
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N18165
BLUE SHIELD
ND
Enumeration date
09/20/2006
Last updated
03/05/2008
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