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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336229129 | NPPES |
| North Dakota | MEDICAID | 18261 |
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