Cheri Beth Roshon, CMT

Individual provider Active NPI Contractor · Pine Island, MN

NPI 1780853010 · NPPES record last updated Feb 20, 2008

Key facts

NPI
1780853010
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
0020 (MN)
Practice address
322 S Main St
Pine Island, MN 55963-8605
Phone
(507) 356-8309
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0020MNMDContractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 0020 MN Yes

Addresses

Primary practice location

322 S Main St
Pine Island, MN 55963-8605

Mailing address

13035 County Road 18
Mazeppa, MN 55956-4214
Phone (507) 356-8309

Other names

  • Ms. Cheri Beth Oelkers Former name

Other providers in Pine Island, MN

All providers in Pine Island, MN · Contractor in Minnesota

Sources for this page

Verify at the official NPI Registry.