Kuntzelman, Richard Dale
Kuntzelman, Richard Dale is an sole proprietor health care provider with primary practice located at 205 Haggerty Ln Suite 100, Bozeman MT 59715-8800. 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. Kuntzelman, Richard Dale can be contacted via phone (406) 585-7399.Contact Information
Primary practice address
205 Haggerty Ln Suite 100
Bozeman MT 59715-8800
Phone: (406) 585-7399
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 566 | Montana |
Profile Details
| NPI number | 1639232754 |
|---|---|
| LBN Legal business name | Kuntzelman, Richard Dale |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639232754 | NPPES |
| Montana | Other | 60605 | BLUE CROSS BLUE SHIELD |
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