Bakke, Rebecca Jo

Bakke, Rebecca Jo is an individual health care provider with primary practice located at 2701 13Th Ave S , Fargo ND 58103-3602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bakke, Rebecca Jo can be contacted via phone (701) 234-3620.

Contact Information

Primary practice address
2701 13Th Ave S Fargo ND 58103-3602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 51.013675 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11565 North Dakota

Profile Details

NPI number 1841456324
LBN Legal business name Bakke, Rebecca Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Mar 25th, 2022 - about 3 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 1841456324 NPPES
North Dakota MEDICAID 15288

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