Bontjes, Rebecca Ann
Bontjes, Rebecca Ann is an individual health care provider with primary practice located at Brainerd Va Community Based Outpatient Clinic 722 Nw 7Th Street, Brainerd MN 56401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bontjes, Rebecca Ann can be contacted via phone (320) 407-4799.Contact Information
Primary practice address
Brainerd Va Community Based Outpatient Clinic 722 Nw 7Th Street
Brainerd MN 56401
Phone: (320) 407-4799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9385 | Minnesota |
Profile Details
| NPI number | 1275648453 |
|---|---|
| LBN Legal business name | Bontjes, Rebecca Ann |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Sep 5th, 2025 - about last year |
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 | 1275648453 | NPPES |
| Minnesota | Other | 510P3B0 | BCBS |
| Minnesota | MEDICAID | 760722900 | BCBS |
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