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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1275844011 NPPES
Minnesota MEDICAID PEND

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