Rabenberg, Katherine Ann
Rabenberg, Katherine Ann is an individual health care provider with primary practice located at 10450 185Th St W Ste 100 , Lakeville MN 55044-6696. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Rabenberg, Katherine Ann can be contacted via phone (763) 377-1189.Contact Information
Primary practice address
10450 185Th St W Ste 100
Lakeville MN 55044-6696
Phone: (763) 377-1189
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1053913822 |
|---|---|
| LBN Legal business name | Rabenberg, Katherine Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2020 |
| Last updated | Nov 16th, 2020 - about 5 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 | 1053913822 | NPPES |
| Minnesota | MEDICAID | 1588993091 |
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