Berentson, Mae O
Berentson, Mae O is an individual health care provider with primary practice located at 160 Heritage Way Ste 202 , Kalispell MT 59901-3127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berentson, Mae O can be contacted via phone (406) 752-8433.Contact Information
Primary practice address
160 Heritage Way Ste 202
Kalispell MT 59901-3127
Phone: (406) 752-8433
Fax: (406) 756-6768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN26212 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 100419 | Montana |
Profile Details
| NPI number | 1972558120 |
|---|---|
| LBN Legal business name | Berentson, Mae O |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1972558120 | NPPES |
| Montana | MEDICAID | 1972558120 | |
| Montana | Other | 1972558120 |
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