Provider Demographics
NPI:1528103462
Name:SCHOLL, RITA BETH (NCTMB,CTL)
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:BETH
Last Name:SCHOLL
Suffix:
Gender:F
Credentials:NCTMB,CTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48707 US 71
Mailing Address - Street 2:
Mailing Address - City:LAPORTE
Mailing Address - State:MN
Mailing Address - Zip Code:56461-4880
Mailing Address - Country:US
Mailing Address - Phone:218-368-2964
Mailing Address - Fax:218-333-1555
Practice Address - Street 1:481 MAG SEVEN CT SW STE 5
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-4474
Practice Address - Country:US
Practice Address - Phone:218-368-2964
Practice Address - Fax:218-333-1555
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist