Blaede, Rebecca Lynn
Blaede, Rebecca Lynn is an individual health care provider with primary practice located at 4858 Banning Avenue , White Bear Lake MN 55110. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blaede, Rebecca Lynn can be contacted via phone (612) 643-0036.Contact Information
Primary practice address
4858 Banning Avenue
White Bear Lake MN 55110
Phone: (612) 643-0036
Fax: (651) 773-7591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1639444284 |
|---|---|
| LBN Legal business name | Blaede, Rebecca Lynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2012 |
| Last updated | Mar 11th, 2020 - about 4 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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