Bush, Rebecca Ann

Bush, Rebecca Ann is an sole proprietor health care provider with primary practice located at 105 New England Pl Suite 220, Stillwater MN 55082-5783. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Bush, Rebecca Ann can be contacted via phone (651) 342-1043.

Contact Information

Primary practice address
105 New England Pl Suite 220 Stillwater MN 55082-5783
Fax: (866) 462-6742
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 1011 Minnesota

Profile Details

NPI number 1407064975
LBN Legal business name Bush, Rebecca Ann
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2007
Last updated May 16th, 2014 - about 10 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 1407064975 NPPES
Minnesota Other 1011 MN STATE MEDICAL BOARD

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