Deruiter, Mary Ann Burke

Deruiter, Mary Ann Burke is an individual health care provider with primary practice located at 3915 Golden Valley Road Courage Center, Golden Valley MN 55422-4298. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Deruiter, Mary Ann Burke can be contacted via phone (763) 520-0716.

Contact Information

Primary practice address
3915 Golden Valley Road Courage Center Golden Valley MN 55422-4298
Phone: (763) 520-0716
Fax: (763) 520-0355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4806 Minnesota

Profile Details

NPI number 1265499818
LBN Legal business name Deruiter, Mary Ann Burke
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265499818 NPPES
Minnesota Other 69D76BU BCBS
Minnesota Other 6401919 BCBS
Minnesota Other HP43081 BCBS

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