Halverson, Gail Rae

Halverson, Gail Rae is an sole proprietor health care provider with primary practice located at 360 Division Ave Suite 200, Grand Forks ND 58201-4702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Halverson, Gail Rae can be contacted via phone (701) 775-4251.

Contact Information

Primary practice address
360 Division Ave Suite 200 Grand Forks ND 58201-4702
Phone: (701) 775-4251
Fax: (701) 775-3691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R29615 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R118302-3 Minnesota

Profile Details

NPI number 1154319911
LBN Legal business name Halverson, Gail Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Aug 26th, 2015 - about 9 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 1154319911 NPPES
North Dakota MEDICAID 53595

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