Bracht, Rebecca Kay

Bracht, Rebecca Kay is an individual health care provider with primary practice located at 1444 147Th Ave Ne , Ham Lake MN 55304-4971. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bracht, Rebecca Kay can be contacted via phone (763) 208-5382.

Contact Information

Primary practice address
1444 147Th Ave Ne Ham Lake MN 55304-4971
Fax: (763) 208-2911
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3365 Minnesota

Profile Details

NPI number 1902935497
LBN Legal business name Bracht, Rebecca Kay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated May 8th, 2018 - about 6 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 1902935497 NPPES
Minnesota Other 5C779BR BLUE CROSS BLUE SHEILD
Minnesota MEDICAID 1902935497 BLUE CROSS BLUE SHEILD
Minnesota MEDICAID 265726100 BLUE CROSS BLUE SHEILD

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