Bultemeier, Dale A

Bultemeier, Dale A is an sole proprietor health care provider with primary practice located at 8101 W Jefferson Blvd , Fort Wayne IN 46804-4163. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bultemeier, Dale A can be contacted via phone (260) 969-2418.

Contact Information

Primary practice address
8101 W Jefferson Blvd Fort Wayne IN 46804-4163
Fax: (260) 432-0493
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26014654 Indiana

Profile Details

NPI number 1457579088
LBN Legal business name Bultemeier, Dale A
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 17 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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