Amundson, Berit L
Amundson, Berit L is an individual health care provider with primary practice located at 1415 S Hwy 89 , Jackson WY 83001-8515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Amundson, Berit L can be contacted via phone (307) 739-8999.Contact Information
Primary practice address
1415 S Hwy 89
Jackson WY 83001-8515
Phone: (307) 739-8999
Fax: (307) 739-4811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 54338 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11180A | Wyoming |
Profile Details
| NPI number | 1790009454 |
|---|---|
| LBN Legal business name | Amundson, Berit L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Jan 21st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790009454 | NPPES |
| Wyoming | MEDICAID | 147069800 |
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