De Ruiter, Maryann Burke
De Ruiter, Maryann Burke is an individual health care provider with primary practice located at 1250 W Broadway Ave , Minneapolis MN 55411-2533. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. De Ruiter, Maryann Burke can be contacted via phone (612) 517-5817.Contact Information
Primary practice address
1250 W Broadway Ave
Minneapolis MN 55411-2533
Phone: (612) 517-5817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4806 | Minnesota |
Profile Details
| NPI number | 1265499818 |
|---|---|
| LBN Legal business name | De Ruiter, Maryann Burke |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Mar 26th, 2026 - about 8 months 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 | 1265499818 | NPPES |
| Minnesota | Other | 69D76BU | BCBS |
| Minnesota | Other | 6401919 | BCBS |
| Minnesota | Other | HP43081 | BCBS |
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