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
Phone: (701) 242-7323
Fax: (701) 242-7797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6871 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7835 | Minnesota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1473 | North Dakota |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609829621 | NPPES |
| Minnesota | MEDICAID | 123437000 |
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