Kallberg, Jeffrey Leonard
Kallberg, Jeffrey Leonard is an sole proprietor health care provider with primary practice located at 843 W Annandale Way , Oro Valley AZ 85737-6923. 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. Kallberg, Jeffrey Leonard can be contacted via phone (952) 412-6207.Contact Information
Primary practice address
843 W Annandale Way
Oro Valley AZ 85737-6923
Phone: (952) 412-6207
Fax: (952) 412-6207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10878PT | Arizona |
Profile Details
| NPI number | 1144315664 |
|---|---|
| LBN Legal business name | Kallberg, Jeffrey Leonard |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Feb 20th, 2017 - about 7 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 | 1144315664 | NPPES |
| Minnesota | Other | 160D2KA | BLUECROSS BLUESHIELD OF MINNESOTA |
| Minnesota | MEDICAID | 600088600 | BLUECROSS BLUESHIELD OF MINNESOTA |
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