Schipper, Roger Lee

Schipper, Roger Lee is an individual health care provider with primary practice located at 516 15Th Ave Se , Minneapolis MN 55455-0120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Schipper, Roger Lee can be contacted via phone (612) 626-8771.

Contact Information

Primary practice address
516 15Th Ave Se Minneapolis MN 55455-0120
Phone: (612) 626-8771
Fax: (612) 626-7748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1023 Minnesota

Profile Details

NPI number 1134170525
LBN Legal business name Schipper, Roger Lee
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1134170525 NPPES
Minnesota Other 780612 NATA MEMBERSHIP

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