Ertsgaard, Rebecca Lenore
Ertsgaard, Rebecca Lenore is an individual health care provider with primary practice located at 11091 Ulysses St Ne Ste 100 , Blaine MN 55434-4238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ertsgaard, Rebecca Lenore can be contacted via phone (612) 879-1000.Contact Information
Primary practice address
11091 Ulysses St Ne Ste 100
Blaine MN 55434-4238
Phone: (612) 879-1000
Fax: (612) 879-0722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 13052 | Minnesota |
Profile Details
| NPI number | 1629623525 |
|---|---|
| LBN Legal business name | Ertsgaard, Rebecca Lenore |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2019 |
| Last updated | May 20th, 2024 - about last year |
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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