Cannonwolf, Rita Marie

Cannonwolf, Rita Marie is an sole proprietor health care provider with primary practice located at 222 9Th Ave W , Alexandria MN 56308-2221. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as her primary health care specialty. Cannonwolf, Rita Marie can be contacted via phone (320) 763-3912.

Contact Information

Primary practice address
222 9Th Ave W Alexandria MN 56308-2221
Phone: (320) 763-3912
Fax: (320) 763-6629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Minnesota

Profile Details

NPI number 1093928459
LBN Legal business name Cannonwolf, Rita Marie
Credentials B.A, T-ADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 18 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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