Provider Demographics
NPI:1790937282
Name:ANE
Entity Type:Organization
Organization Name:ANE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:ALDAYEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:701-947-2091
Mailing Address - Street 1:426 7TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NEW ROCKFORD
Mailing Address - State:ND
Mailing Address - Zip Code:58356-2112
Mailing Address - Country:US
Mailing Address - Phone:701-947-2091
Mailing Address - Fax:701-947-2295
Practice Address - Street 1:426 7TH AVE S
Practice Address - Street 2:
Practice Address - City:NEW ROCKFORD
Practice Address - State:ND
Practice Address - Zip Code:58356-2112
Practice Address - Country:US
Practice Address - Phone:701-947-2091
Practice Address - Fax:701-947-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage