Samuelson, Michelle Marie
Samuelson, Michelle Marie is an sole proprietor health care provider with primary practice located at 200 Main Ave S , Park Rapids MN 56470-1518. 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. Samuelson, Michelle Marie can be contacted via phone (218) 732-0868.Contact Information
Primary practice address
200 Main Ave S
Park Rapids MN 56470-1518
Phone: (218) 732-0868
Fax: (218) 732-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 102954 | Minnesota |
Profile Details
| NPI number | 1043385834 |
|---|---|
| LBN Legal business name | Samuelson, Michelle Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043385834 | NPPES |
| Minnesota | Other | 13K2TH | BLUE CROSS IND ID # |
| Minnesota | Other | 64-04244 | BLUE CROSS IND ID # |
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