Dahlman, Bruce George
Dahlman, Bruce George is an individual health care provider with primary practice located at 10961 Club West Pkwy , Blaine MN 55449-4671. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Dahlman, Bruce George can be contacted via phone (763) 572-5710.Contact Information
Primary practice address
10961 Club West Pkwy
Blaine MN 55449-4671
Phone: (763) 572-5710
Fax: (763) 528-2945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1600 | Minnesota |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6746 | Minnesota |
Profile Details
NPI number | 1679673073 |
---|---|
LBN Legal business name | Dahlman, Bruce George |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Sep 30th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679673073 | NPPES |
Minnesota | Other | 6405049 | MEDICA |
Minnesota | Other | 374L6DA | MEDICA |
Minnesota | Other | HP47868 | MEDICA |
Minnesota | Other | 1250543 | MEDICA |
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