Heazlett, Rebecca K.

Heazlett, Rebecca K. is an sole proprietor health care provider with primary practice located at 2400 47Th Ave S , Grand Forks ND 58201-3405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Heazlett, Rebecca K. can be contacted via phone (701) 746-2230.

Contact Information

Primary practice address
2400 47Th Ave S Grand Forks ND 58201-3405
Phone: (701) 746-2230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 428 North Dakota

Profile Details

NPI number 1689726879
LBN Legal business name Heazlett, Rebecca K.
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689726879 NPPES
North Dakota MEDICAID 58725

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