Haroldson, Renee

Haroldson, Renee is an individual health care provider with primary practice located at 14500 99Th Ave N #1-210, Maple Grove MN 55369-4730. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Haroldson, Renee can be contacted via phone (763) 898-1778.

Contact Information

Primary practice address
14500 99Th Ave N #1-210 Maple Grove MN 55369-4730
Phone: (763) 898-1778
Fax: (763) 898-1771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 103981 Minnesota

Profile Details

NPI number 1013975663
LBN Legal business name Haroldson, Renee
Credentials OTRL CHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 2nd, 2013 - about 12 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 1013975663 NPPES
Virginia Other 192940 BCBS OCCUPATIONAL THERAPY
Virginia Other 670001766 BCBS OCCUPATIONAL THERAPY
Virginia MEDICAID 8937141 BCBS OCCUPATIONAL THERAPY
Virginia Other 7601113 BCBS OCCUPATIONAL THERAPY

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