Mordick, Maureen H
Mordick, Maureen H is an individual health care provider with primary practice located at 640 Jackson St Mailstop 11102D, Saint Paul MN 55101-2502. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Mordick, Maureen H can be contacted via phone (651) 254-5540.Contact Information
Primary practice address
640 Jackson St Mailstop 11102D
Saint Paul MN 55101-2502
Phone: (651) 254-5540
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 28403 |
Profile Details
NPI number | 1134492010 |
---|---|
LBN Legal business name | Mordick, Maureen H |
Credentials | CTRS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2012 |
Last updated | Feb 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134492010 | NPPES |
Other | 28403 | NCTRC |
Popular Providers
-
Dotseth, Krista R
4801 Veterans Dr , Saint Cloud MN 56303-2015 -
Tripp, Brionn M
815 N Frederick St , Post Falls ID 83854-8667 -
Althoff, Sarianna Joy
2181 Sunrise Dr , Saint Paul MN 55117-1821 -
Jett, Carron
6439 Garners Ferry Rd , Columbia SC 29209-1638 -
Foster, Julie A.
211 N Homer Ln , Wolcott IN 47995-8077 -
Smith, Candace Marie
213 College Street , Greenville SC 29601 -
Saugstad, Janine Ann
714 Country Gate Dr , New Whiteland IN 46184-9206 -
Mcdaniel, Abby
4801 Veterans Dr , Saint Cloud MN 56303-2015