Brondyke, Duglas J
Brondyke, Duglas J is an individual health care provider with primary practice located at 2900 S 25Th St Ste B2 , Clinton IA 52732-7250. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Brondyke, Duglas J can be contacted via phone (563) 278-8830.Contact Information
Primary practice address
2900 S 25Th St Ste B2
Clinton IA 52732-7250
Phone: (563) 278-8830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070004020 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 01266 | Iowa |
Profile Details
| NPI number | 1699761643 |
|---|---|
| LBN Legal business name | Brondyke, Duglas J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Feb 2nd, 2024 - about last year |
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 | 1699761643 | NPPES |
| Iowa | Other | 01266 | LICENSE |
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