Nordlie, Mary Rose

Nordlie, Mary Rose is an individual health care provider with primary practice located at 8100 Northland Dr , Bloomington MN 55431-4800. 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. Nordlie, Mary Rose can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
8100 Northland Dr Bloomington MN 55431-4800
Phone: (952) 831-8742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 100337 Minnesota

Profile Details

NPI number 1073580502
LBN Legal business name Nordlie, Mary Rose
Credentials OTR, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jan 18th, 2019 - about 6 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 1073580502 NPPES
Minnesota Other 100337 STATE OT LICENSE

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