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:
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Health care specialties

SpecialtyCodeLicense #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 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 1134492010 NPPES
Other 28403 NCTRC

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