Bontjes, Rebecca Ann
Bontjes, Rebecca Ann is an individual health care provider with primary practice located at 523 N 3Rd St , Brainerd MN 56401-3054. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bontjes, Rebecca Ann can be contacted via phone (218) 828-7379.Contact Information
Primary practice address
523 N 3Rd St
Brainerd MN 56401-3054
Phone: (218) 828-7379
Fax: (218) 828-7390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LICSW9385 | Minnesota |
Profile Details
| NPI number | 1275648453 |
|---|---|
| LBN Legal business name | Bontjes, Rebecca Ann |
| Credentials | MSW,LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275648453 | NPPES |
| Minnesota | Other | 510P3B0 | BCBS |
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