JEANINE L ROEMBACH MD NPI 1306867528

NPI Information

NPI: 1306867528
Provider Name: JEANINE L ROEMBACH, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
100 4TH ST S
FARGO, ND
ZIP 58103
Phone: (701) 234-4141
Get Directions

Jeanine L Roembach, MD is a child and adolescent psychiatry psychiatry neurology in Fargo, ND. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Jeanine L Roembach, MD NPI is 1306867528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 4TH ST S
FARGO, ND
ZIP 58103-929
Phone: (701) 234-4141
Fax: (701) 234-4137

The enumeration date for this NPI number is 7/22/2006 and was last updated on 5/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	7648	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	260031482	MEDICARE PIN	NORTH DAKOTA
2	792216700	MEDICAID	MINNESOTA
3	10028	MEDICAID	NORTH DAKOTA
4	E08132	MEDICARE UPIN
5	N14517	MEDICARE PIN	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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