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
Phone: (763) 566-0344
Fax: (763) 566-4658
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699737791 | NPPES |
Minnesota | MEDICAID | 312479700 |
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