Dockter, Rebecca Susan

Dockter, Rebecca Susan is an individual health care provider with primary practice located at 430 5Th St N , Breckenridge MN 56520-1426. 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. Dockter, Rebecca Susan can be contacted via phone (218) 641-7725.

Contact Information

Primary practice address
430 5Th St N Breckenridge MN 56520-1426
Phone: (218) 641-7725
Fax: (218) 641-6625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1245 North Dakota

Profile Details

NPI number 1902009491
LBN Legal business name Dockter, Rebecca Susan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jun 18th, 2012 - about 13 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 1902009491 NPPES
North Dakota MEDICAID 55104

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