Degallier, Peter Roland

Degallier, Peter Roland is an sole proprietor health care provider with primary practice located at 720 E Highway 61 , Winona MN 55987-5300. He recently has only one registered license in Dental Providers / Dental Therapist, which is considered as his primary health care specialty. Degallier, Peter Roland can be contacted via phone (507) 452-9453.

Contact Information

Primary practice address
720 E Highway 61 Winona MN 55987-5300
Phone: (507) 452-9453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X DT117 Minnesota

Profile Details

NPI number 1124663109
LBN Legal business name Degallier, Peter Roland
Credentials DENTAL THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - about 5 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 1124663109 NPPES
Minnesota Other 1497784342 NPI
Minnesota Other 1992930556 NPI
Minnesota Other 1801957758 NPI

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