Rahberg, Elizabeth A

Rahberg, Elizabeth A is an individual health care provider with primary practice located at 5415 Brooklyn Blvd , Brooklyn Center MN 55429-3359. 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. Rahberg, Elizabeth A can be contacted via phone (763) 533-8666.

Contact Information

Primary practice address
5415 Brooklyn Blvd Brooklyn Center MN 55429-3359
Fax: (763) 533-8711
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9488 Minnesota

Profile Details

NPI number 1891856050
LBN Legal business name Rahberg, Elizabeth A
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891856050 NPPES
Minnesota MEDICAID 582437100

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