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
Phone: (763) 533-8666
Fax: (763) 533-8711
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891856050 | NPPES |
Minnesota | MEDICAID | 582437100 |
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