Wallace-Reed, Rita

Wallace-Reed, Rita is an individual health care provider with primary practice located at 5701 Shingle Creek Pkwy Suite 305, Brooklyn Center MN 55430-2467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Wallace-Reed, Rita can be contacted via phone (763) 566-0344.

Contact Information

Primary practice address
5701 Shingle Creek Pkwy Suite 305 Brooklyn Center MN 55430-2467
Fax: (763) 566-4658
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 44408 Minnesota

Profile Details

NPI number 1699737791
LBN Legal business name Wallace-Reed, Rita
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated May 31st, 2016 - about 8 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 1699737791 NPPES
Minnesota MEDICAID 312479700

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