Gunderson, Dale Eugene
Gunderson, Dale Eugene is an individual health care provider with primary practice located at 504 E Monroe St , Rapid City SD 57701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gunderson, Dale Eugene can be contacted via phone (605) 394-6761.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 1142 | South Dakota |
Profile Details
| NPI number | 1699973263 |
|---|---|
| LBN Legal business name | Gunderson, Dale Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1699973263 | NPPES |
| South Dakota | MEDICAID | 5350060 |
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