Dahle, Daniel Rogers

Dahle, Daniel Rogers is an individual health care provider with primary practice located at 3916 N. Intertech Court Suite B, Appleton WI 54913. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dahle, Daniel Rogers can be contacted via phone (920) 733-7726.

Contact Information

Primary practice address
3916 N. Intertech Court Suite B Appleton WI 54913
Phone: (920) 733-7726
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6442-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 361-039 Wisconsin

Profile Details

NPI number 1073704441
LBN Legal business name Dahle, Daniel Rogers
Credentials PT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Oct 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073704441 NPPES
Wisconsin MEDICAID 36105000

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