Bertram, Bobbie Jo
Bertram, Bobbie Jo is an individual health care provider with primary practice located at 1406 6Th Ave N St. Cloud Hospital, Saint Cloud MN 56303-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bertram, Bobbie Jo can be contacted via phone (320) 255-5656.Contact Information
Primary practice address
1406 6Th Ave N St. Cloud Hospital
Saint Cloud MN 56303-1900
Phone: (320) 255-5656
Fax: (320) 656-7044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R-156834-7 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R156834 | Minnesota |
Profile Details
| NPI number | 1275844011 |
|---|---|
| LBN Legal business name | Bertram, Bobbie Jo |
| Credentials | RN, CNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2010 |
| Last updated | Feb 14th, 2014 - about 10 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 | 1275844011 | NPPES |
| Minnesota | MEDICAID | PEND |
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