Rognlien, Michael J

Rognlien, Michael J is an individual health care provider with primary practice located at 2301 25Th St S Suite A, Fargo ND 58103-6104. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rognlien, Michael J can be contacted via phone (701) 237-9712.

Contact Information

Primary practice address
2301 25Th St S Suite A Fargo ND 58103-6104
Phone: (701) 237-9712
Fax: (701) 237-0922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0239 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAC0239 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PAC0239 North Dakota

Profile Details

NPI number 1457307217
LBN Legal business name Rognlien, Michael J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jan 6th, 2011 - about 14 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 1457307217 NPPES
North Dakota MEDICAID 15848

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