Bergquist, Rose

Bergquist, Rose is an individual health care provider with primary practice located at 1000 Highway 12 , Hettinger ND 58639-7530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bergquist, Rose can be contacted via phone (701) 567-4561.

Contact Information

Primary practice address
1000 Highway 12 Hettinger ND 58639-7530
Phone: (701) 567-4561
Fax: (701) 567-6361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAC0235 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X PAC0235 North Dakota

Profile Details

NPI number 1952401200
LBN Legal business name Bergquist, Rose
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Feb 22nd, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952401200 NPPES
North Dakota Other 19144 BLUE CROSS OF NORTH DAKOT

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