Cantwell, Rebecca

Cantwell, Rebecca is an individual health care provider with primary practice located at 500 Osborne Rd Ne , Fridley MN 55432-2765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cantwell, Rebecca can be contacted via phone (763) 236-2180.

Contact Information

Primary practice address
500 Osborne Rd Ne Fridley MN 55432-2765
Phone: (763) 236-2180
Fax: (763) 236-2067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1369 Minnesota

Profile Details

NPI number 1558425967
LBN Legal business name Cantwell, Rebecca
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jan 26th, 2010 - about 15 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 1558425967 NPPES
Minnesota Other 1369 STATE MEDICAL LICENSE
Minnesota Other 50.001798 STATE MEDICAL LICENSE

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