Rutten, Bradley H

Rutten, Bradley H is an individual health care provider with primary practice located at 2251 Connecticut Ave S , Sartell MN 56377-2486. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rutten, Bradley H can be contacted via phone (320) 253-5220.

Contact Information

Primary practice address
2251 Connecticut Ave S Sartell MN 56377-2486
Phone: (320) 253-5220
Fax: (320) 203-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9022 Minnesota

Profile Details

NPI number 1770559239
LBN Legal business name Rutten, Bradley H
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Dec 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770559239 NPPES
Minnesota MEDICAID 472752500

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