Kjellberg, Gregory Bruce

Kjellberg, Gregory Bruce is an individual health care provider with primary practice located at 127 N Broadway St Po 848, New Ulm MN 56073-1715. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kjellberg, Gregory Bruce can be contacted via phone (507) 233-9400.

Contact Information

Primary practice address
127 N Broadway St Po 848 New Ulm MN 56073-1715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9918 Minnesota

Profile Details

NPI number 1174511570
LBN Legal business name Kjellberg, Gregory Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 2007 - about 17 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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