Gietzen, Chris A
Gietzen, Chris A is an individual health care provider with primary practice located at 606 1St St Nw , Mandan ND 58554-3121. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gietzen, Chris A can be contacted via phone (701) 667-0745.Contact Information
Primary practice address
606 1St St Nw
Mandan ND 58554-3121
Phone: (701) 667-0745
Fax: (701) 667-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1383 | North Dakota |
Profile Details
| NPI number | 1205898319 |
|---|---|
| LBN Legal business name | Gietzen, Chris A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Dec 27th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205898319 | NPPES |
| North Dakota | Other | 030477097 | WORK FORCE SAFETY |
| North Dakota | MEDICAID | 1463184 | WORK FORCE SAFETY |
| North Dakota | Other | 030477097 | WORK FORCE SAFETY |
| North Dakota | MEDICAID | 54130 | WORK FORCE SAFETY |
| North Dakota | Other | 650024893 | WORK FORCE SAFETY |
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