Berthiaume, Norman Leo

Berthiaume, Norman Leo is an individual health care provider with primary practice located at 1200 Roberts Ave Ne , Cooperstown ND 58425-7101. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Berthiaume, Norman Leo can be contacted via phone (701) 797-2221.

Contact Information

Primary practice address
1200 Roberts Ave Ne Cooperstown ND 58425-7101
Phone: (701) 797-2221
Fax: (701) 797-2457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R015780 Maine
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R34592 North Dakota

Profile Details

NPI number 1770691651
LBN Legal business name Berthiaume, Norman Leo
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 7th, 2009 - about 15 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 1770691651 NPPES
Maine MEDICAID 128170099

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