Hendrickson, Robert
Hendrickson, Robert is an individual health care provider with primary practice located at 301 N Broadway , Pelican Rapids MN 56572-4113. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Hendrickson, Robert can be contacted via phone (218) 863-2000.Contact Information
Primary practice address
301 N Broadway
Pelican Rapids MN 56572-4113
Phone: (218) 863-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 102343 | Minnesota |
Profile Details
| NPI number | 1356627491 |
|---|---|
| LBN Legal business name | Hendrickson, Robert |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2011 |
| Last updated | Mar 12th, 2014 - about 12 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 | 1356627491 | NPPES |
| Minnesota | MEDICAID | 1356627491 |
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