Klutz, Bruce A
Klutz, Bruce A is an individual health care provider with primary practice located at 4210 Southtown Dr , Eau Claire WI 54701-2635. 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. Klutz, Bruce A can be contacted via phone (715) 839-9266.Contact Information
Primary practice address
4210 Southtown Dr
Eau Claire WI 54701-2635
Phone: (715) 839-9266
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1938-024 | Wisconsin |
Profile Details
NPI number | 1710958608 |
---|---|
LBN Legal business name | Klutz, Bruce A |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | Apr 9th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710958608 | NPPES |
Minnesota | Other | 413T3KL | BXBS |
Minnesota | MEDICAID | 36138500 | BXBS |
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