Poirier, Roberta Rae
Poirier, Roberta Rae is an sole proprietor health care provider with primary practice located at 640 Jackson Street Mc 11503H, St Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Poirier, Roberta Rae can be contacted via phone (651) 254-1025.Contact Information
Primary practice address
640 Jackson Street Mc 11503H
St Paul MN 55101-2502
Phone: (651) 254-1025
Fax: (651) 254-1024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1073777 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1073777 | Minnesota |
Profile Details
| NPI number | 1366485310 |
|---|---|
| LBN Legal business name | Poirier, Roberta Rae |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | May 20th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366485310 | NPPES |
| Wisconsin | MEDICAID | 39900600 | |
| Wisconsin | MEDICAID | 368240400 |
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