Dyrdahl, Brandon Allen
Dyrdahl, Brandon Allen is an individual health care provider with primary practice located at 1680 Mid Valley Dr Ste C , De Pere WI 54115-9517. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dyrdahl, Brandon Allen can be contacted via phone (920) 658-5040.Contact Information
Primary practice address
1680 Mid Valley Dr Ste C
De Pere WI 54115-9517
Phone: (920) 658-5040
Fax: (920) 658-5039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5470-12 | Wisconsin |
Profile Details
| NPI number | 1437714805 |
|---|---|
| LBN Legal business name | Dyrdahl, Brandon Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2019 |
| Last updated | Dec 15th, 2021 - about 3 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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