Forsberg, Jerane A

Forsberg, Jerane A is an sole proprietor health care provider with primary practice located at 1500 24Th Ave Sw , Minot ND 58701-6905. 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. Forsberg, Jerane A can be contacted via phone (701) 857-5150.

Contact Information

Primary practice address
1500 24Th Ave Sw Minot ND 58701-6905
Phone: (701) 857-5150
Fax: (701) 857-5564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0225 North Dakota

Profile Details

NPI number 1336229129
LBN Legal business name Forsberg, Jerane A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Dec 22nd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336229129 NPPES
North Dakota MEDICAID 18261

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