Provider Demographics
NPI:1346319910
Name:BEAR, REBECCA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LYNN
Last Name:BEAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NW 13TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BERESFORD
Mailing Address - State:SD
Mailing Address - Zip Code:57004-1545
Mailing Address - Country:US
Mailing Address - Phone:605-763-8056
Mailing Address - Fax:605-763-8057
Practice Address - Street 1:201 NW 13TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BERESFORD
Practice Address - State:SD
Practice Address - Zip Code:57004-1545
Practice Address - Country:US
Practice Address - Phone:605-763-8056
Practice Address - Fax:605-763-8057
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDC1044OtherDAKOTACARE
SD245125OtherMIDLAND'S CHOICE
SD4995188OtherBLUE CROSS BLUE SHIELD
SD2352685OtherFEDERATED MUTUAL INS
SD7601910Medicaid
SD4966OtherAVERA HEALTH PLANS
SD38683OtherSIOUX VALLEY HEALTH PLAN
SD671448OtherUNITED HEALTHCARE
SD4995188OtherBLUE CROSS BLUE SHIELD