Individual
JEANNE HOISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
420 SOUTH7TH STREET, OAKES, ND 58474-2024
(701) 742-3267
(701) 742-3201
Mailing address
PO BOX 50, OAKES, ND 58474-0050
(701) 742-3267
(701) 742-3201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0108
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18181
BLUE SHIELD
ND
01
—
18207
BLUE SHIELD
ND
01
—
18208
BLUE SHIELD
ND
01
—
25948
BLUE SHIELD
ND
01
—
28587
BLUE SHIELD
ND
01
—
28588
BLUE SHIELD
ND
01
—
28589
BLUE SHIELD
ND
01
—
970009834
RAILROAD MEDICARE
ND
01
—
CF8850
RAILROAD MEDICARE
ND
Enumeration date
10/19/2005
Last updated
05/21/2008
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