Paulson, Tera Deeann

Paulson, Tera Deeann is an individual health care provider with primary practice located at 430 5Th St N , Breckenridge MN 56520-1426. 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. Paulson, Tera Deeann can be contacted via phone (701) 242-7323.

Contact Information

Primary practice address
430 5Th St N Breckenridge MN 56520-1426
Fax: (701) 242-7797
Website:

Profile Details

NPI number 1609829621
LBN Legal business name Paulson, Tera Deeann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 1st, 2011 - about 15 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 1609829621 NPPES
Minnesota MEDICAID 123437000

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