Roembach, Jeanine L

Roembach, Jeanine L is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Roembach, Jeanine L can be contacted via phone (701) 234-4141.

Contact Information

Primary practice address
100 4Th St S Fargo ND 58103-1929
Phone: (701) 234-4141
Fax: (701) 234-4137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 7648 North Dakota

Profile Details

NPI number 1306867528
LBN Legal business name Roembach, Jeanine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated May 3rd, 2012 - about 12 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 1306867528 NPPES
North Dakota MEDICAID 10028
North Dakota MEDICAID 792216700

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