Gilbertson, Nathan Wayne

Gilbertson, Nathan Wayne is an individual health care provider with primary practice located at 4570 County Highway 61 , Moose Lake MN 55767. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gilbertson, Nathan Wayne can be contacted via phone (218) 485-4491.

Contact Information

Primary practice address
4570 County Highway 61 Moose Lake MN 55767
Phone: (218) 485-4491
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 11706 Minnesota

Profile Details

NPI number 1336203686
LBN Legal business name Gilbertson, Nathan Wayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 21st, 2022 - about 3 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 1336203686 NPPES
Florida MEDICAID 292669500

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