CONNIE RETTIG


Address: 908 North Shore Drive, Forest Lake, MN 55025
Phone: 6518291803

CONNIE RETTIG (NPI# 1255973319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255973319
Entity Type Individual
Full Name CONNIE RETTIG
Practice Address 908 North Shore Drive
Forest Lake
MN 55025
Practice Telephone 6518291803
Mailing Telephone 6518291803
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 908 NORTH SHORE DRIVE
City FOREST LAKE
State MN
Zip Code 55025

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043846173 Persistence Physical Therapy LLC Clinic/Center 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 2020-03-20
1003394479 Malissa Ann Costanzo Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 844 8th Ave Se, Forest Lake, MN 55025 2018-07-30
1669754735 Brent Alan Millard Pharmacist 1207 West Broadway Ave, Forest Lake, MN 55025 2011-09-15
1982842167 Lakes Center for Youth and Families Community/Behavioral Health 20 N Lake Street, Suite 103, Forest Lake, MN 55025 2009-01-27
1487843355 Paul Luke Mladnick Marriage & Family Therapist 1068 So Lake St, #109, Forest Lake, MN 55025 2007-10-17
1740477678 Rita Lynn Scanlan Occupational Therapist 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 2007-09-25
1114053113 Senior Care Forest Lake, LLC Skilled Nursing Facility 604 N.e. First Street, Forest Lake, MN 55025 2007-02-26
1073672101 Catharine B Ruther Dentist 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 2006-12-06
1407914849 Ervin George Savord Dentist 255 Highway 97, Suite 1b, Forest Lake, MN 55025 2006-12-05
1609945286 Elizabeth Anne Mcinerney Social Worker 882 Sw 15th Avenue, Forest Lake, MN 55025 2006-11-07
Find all providers in zip 55025

Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255959581 Ready To Care Technician 7420 Unity Ave N Ste 110c, Brooklyn Park, MN 55443-3161 2020-07-13
1437789781 Anita Mae Thompson Technician 41306 120th St, Waseca, MN 56093 2020-01-24
1548809007 Yeev Thoj Technician 1896 3rd St E, Saint Paul, MN 55119-3417 2020-01-02
1578102026 Ronald Dean Luckhardt Technician 5617 Cleary Road Nw, Anoka, MN 55303-9624 2020-01-02
1356986475 Barbro E Strom Langley Technician 16901 River View Cir, Big Lake, MN 55309 2019-11-13
1821631391 Patrice Marie Curtiss Technician 23792 Winckler Road, Grand Rapids, MN 55744 2019-10-28
1770126674 Abigail Larson Technician 5328 Hwy 7, Culver, MN 55779 2019-10-23
1265074173 Madeline Teresa Stoltz Technician 219 Plum Run, Le Sueur, MN 56058 2019-10-11
1740822642 Maxine L. Mccormick Technician 40 Irvine Park, Saint Paul, MN 55102-2413 2019-10-11
1669013280 Christina Marie Orde Technician 4855 261st Street, Wyoming, MN 55092 2019-10-04
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Competitor

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City FOREST LAKE
Zip Code 55025

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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