Rebedeau, Susan Marie
Rebedeau, Susan Marie is an sole proprietor health care provider with primary practice located at 124 N. Federal Avenue , Mason City IA 50401-3201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rebedeau, Susan Marie can be contacted via phone (641) 423-3864.Contact Information
Primary practice address
124 N. Federal Avenue
Mason City IA 50401-3201
Phone: (641) 423-3864
Fax: (641) 423-3836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 06060 | Iowa |
Profile Details
| NPI number | 1306033550 |
|---|---|
| LBN Legal business name | Rebedeau, Susan Marie |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Sep 14th, 2015 - about 11 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 | 1306033550 | NPPES |
| Iowa | Other | 43071 | BLUE SHIELD/WELLMARK |
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